Church Membership Form

Child #1*

First NameLast Name
Birthdate*

DayMonthYear
Gender

MaleFemale
Baptized    Yes   No*
Place of Baptism   Name of church*
First Communion   Yes   No
Confirmed   Yes or No*
Current SchoolName of school*
Child #2*

YesNo

Child #2*

First NameLast Name
Birthdate*

DayMonthYear
Gender

MaleFemale
Baptized    Yes   No*
Place of Baptism   Name of church*
First Communion   Yes   No*
Confirmed   Yes or No*
Current SchoolName of school*
Child #3*

YesNo

Child #3*

First NameLast Name
Birthdate*

MonthDayYear
Gender

MaleFemale
Baptized    Yes   No*
Place of Baptism   Name of church*
First Communion   Yes   No*
Confirmed   Yes or No*
Current SchoolName of school*