St. Mark Catholic Church Registration-English
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Date
Last Name
Check One:
Catholic Marriage
Single/Engaged
Divorced
Widowed
Non-Catholic Civil Marriage
Check One:
Mr. & Mrs.
Mr.
Mrs.
Miss
Ms.
Dr. & Mrs.
Dr.
Address
Apt
City/State
Zip
Home Phone
Cell Phone
Work Phone
Email Address
Resident - Check One:
Permanent Resident
Seasonal Resident
Seasonal Resident From
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Seasonal Resident To
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Other Address
Other Address (City/State/Zip)
First Name
Check All That Apply:
Male
Female
Adult
Spouse
Child
Rec'd Baptism
Rec'd Communion
Rec'd Confirmation
Occupation or Student & School They Attend
Date of Birth
Religion
First Name
Check All That Apply:
Male
Female
Adult
Spouse
Child
Rec'd Baptism
Rec'd Communion
Rec'd Confirmation
Occupation or Student & School They Attend
Date of Birth
Religion
First Name
Check All That Apply
Male
Female
Adult
Spouse
Child
Rec'd Baptism
Rec'd Communion
Rec'd Confirmation
Occupation or Student & School They Attend
Date of Birth
Religion
First Name
Check All That Apply
Male
Female
Adult
Spouse
Child
Rec'd Baptism
Rec'd Communion
Rec'd Confirmation
Occupation or Student & School They Attend
Date of Birth
Religion
First Name
Check All That Apply
Male
Female
Adult
Spouse
Child
Rec'd Baptism
Rec'd Communion
Rec'd Confirmation
Occupation or Student & School They Attend
Date of Birth
Religion
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