All Saints Parish Registration

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

First Name Middle Initial Last Name
Today's Date

Month Day Year
Date
Current Parish
Address *

Street Address

PO Box

City State

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

Month Day Year
Date
Couple Married by Priest?

Yes No
City & State of Marriage

Street Address

Street Address Line 2

City State
Household Information
Name - (Male Household Member)

First Name Last Name
Same as Head of Household

Yes
NIckname
Date of Birth

Month Day Year
Date
Status

Single Married Widowed Sep / Div Deceased
Religion

Catholic
Baptized

Yes No
I am interested in RCIA.

Yes No
Weekly Mass

Weekly Frequent Seldom
First Communion

Yes No
Confirmed

Yes No
Additional Info

Blind / Deaf Handicap Homebound Rest Home
Name - (Female Household Member)

First Name Middle Initial Last Name
Maiden Name
Date of Birth

Month Day Year
Date
Status

Single Married Widowed Sep / Div Deceased
Religion

Catholic
Baptized

Yes No
I am interested in RCIA.

Yes No
Weekly Mass

Weekly Frequent Seldom
First Communion

Yes No
Confirmed

Yes No
Additional Info

Blind / Deaf Handicap Homebound Rest Home
Children Information