Family Last Name          Address                           Apt #    City                                 State                                Zip

 

Home Phone                    Cellular Phone                 Email

 

Father Name                 Civil State       Church Marriage   Civil Marriage  Common Law Marriage

 

Mother Name

 

Children                                                                  Gender

Name                              Last Name                      M    F    DOB              Baptism  1st Communion  Confirmation

 

 

 

 

 

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Notes

 

Do you need the contribution envelopes mailed to you?