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His

Hers

Below, please list all members of your household, including yourself.

Head of Household

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Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
Gender REQUIRED Please fill out this field.
Marital Status REQUIRED Please fill out this field.
Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
Sacraments Received Baptism Penance First Communion Confirmation Marriage
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Spouse (if applicable)

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Last Name Please enter valid data.
Relationship to Household
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Gender
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Sacraments Received Baptism Penance First Communion Confirmation Marriage
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Family Member #1

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Last Name Please enter valid data.
Relationship to Household
Date of Birth (mm/dd/yyyy) Please enter a date.
Gender
Marital Status
Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
Will this child need to attend CCD/Sunday school? (if school age)
current grade level (if applicable)
Sacraments Received Baptism Penance First Communion Confirmation Marriage
Do you wish to receive contribution envelopes?

Family Member #2

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Relationship to Household
Date of Birth (mm/dd/yyyy) Please enter a date.
Gender
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Will this child need to attend CCD/Sunday school? (if school age)
current grade level (if applicable)
Sacraments Received Baptism Penance First Communion Confirmation Marriage
Do you wish to receive contribution envelopes?

Family Member #3

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Relationship to Household
Date of Birth (mm/dd/yyyy) Please enter a date.
Gender
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Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
Will this child need to attend CCD/Sunday school? (if school age)
current grade level (if applicable)
Sacraments Received Baptism Penance First Communion Confirmation Marriage
Do you wish to receive contribution envelopes?

Family Member #4

First Name Please enter valid data.

Last Name Please enter valid data.
Relationship to Household
Date of Birth (mm/dd/yyyy) Please enter a date.
Gender
Marital Status
Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
Will this child need to attend CCD/Sunday school? (if school age)
current grade level (if applicable)
Sacraments Received Baptism Penance First Communion Confirmation Marriage
Do you wish to receive contribution envelopes?

Family Member #5

First Name Please enter valid data.

Last Name Please enter valid data.
Relationship to Household
Date of Birth (mm/dd/yyyy) Please enter a date.
Gender
Marital Status
Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
Will this child need to attend CCD/Sunday school? (if school age)
current grade level (if applicable)
Sacraments Received Baptism Penance First Communion Confirmation Marriage
Do you wish to receive contribution envelopes?