PARISH REGISTRATION

REGISTRATION FORM

Welcome to our Family of Faith!

767 Prospect Street Maplewood, NJ 07040
www.sjcmaplewoodnj.org
973-761-5933
Full Name (Lead Member of Household)
Birthdate

MonthDayYear
Date
Pronouns
Marital Status
Address
Cell
Email
example@example.com
FULL NAME ADDITIONAL ADULT MEMBER OF HOUSEHOLD
Full Name
Birthdate

MonthDayYear
Date
Pronouns
Marital Status
Address
Cell
Email
example@example.com
FULL NAME ADDITIONAL ADULT MEMBER OF HOUSEHOLD
Full Name
Birthdate

MonthDayYear
Date
Pronouns
Marital Status
Address
Cell
Email
example@example.com
FULL NAME OF CHILD
Birthdate

MonthDayYear
Date
Pronouns
FULL NAME OF CHILD
Birthdate

MonthDayYear
Date
Pronouns
FULL NAME OF CHILD
Birthdate

MonthDayYear
Date
Pronouns
FULL NAME OF CHILD
Birthdate

MonthDayYear
Date
Pronouns
MINISTRIES OF INTEREST TO YOU (Check all that applies)
Hospitality/Ushers/Greeters,
Religious Education
Music
Open Arms/LGBTQ
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