All Saints Parish Registration

All Saints Parish Registration
General Information
Name - (Head of Household)*

First NameMiddle InitialLast Name
Today's Date

MonthDayYear
Date
Current Parish
Address*

Street Address

PO Box

CityState

Zip Code
Phone Number
Email
example@example.com
Marriage Information
Church of Marriage
Church Name
Marriage Date

MonthDayYear
Date
Couple Married by Priest?

YesNo
City & State of Marriage

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Household Information
Name - (Male Household Member)

First NameLast Name
Same as Head of Household

Yes
NIckname
Date of Birth

MonthDayYear
Date
Status

SingleMarriedWidowedSep / DivDeceased
Religion

Catholic
Baptized

YesNo
I am interested in RCIA.

YesNo
Weekly Mass

WeeklyFrequentSeldom
First Communion

YesNo
Confirmed

YesNo
Additional Info

Blind / DeafHandicapHomeboundRest Home
Name - (Female Household Member)

First NameMiddle InitialLast Name
Maiden Name
Date of Birth

MonthDayYear
Date
Status

SingleMarriedWidowedSep / DivDeceased
Religion

Catholic
Baptized

YesNo
I am interested in RCIA.

YesNo
Weekly Mass

WeeklyFrequentSeldom
First Communion

YesNo
Confirmed

YesNo
Additional Info

Blind / DeafHandicapHomeboundRest Home
Children Information