Birthdays and Anniversaries
We invite you to complete this short form for everyone in your household. Only the month and day are needed for birthdays. We will use this info to acknowledge birthdays and anniversaries in the BVMC Weekly Newsletter, ONLY if you give permission. Please submit this by June 4. Thank you! The Parish Committee
Name of person filling in form
*
First Name
Last Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Wedding Anniversary
-
Month
-
Day
Year
Date
Other adults in the household...
HOW MANY OTHER ADULTS IN THIS HOUSEHOLD?
*
Please Select
no other adults
1
2
Adult 2
First Name
Last Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Adult 3
First Name
Last Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Children in the household...
Are there children in the household?
*
Yes
No
How many children?
Please Select
1
2
3
3+
Child 1
Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Child 2
Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Child 3
Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
Child 4
Name
Birth Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Select Month
Birth Date
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select Date
I give permission to share this birthday and anniversary in the BVMC Weekly
*
Yes
No
*
Submit Here By June 4
Thank You!
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