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Registration Type:
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Personal Information & Address
INSTRUCTIONS:
Please fill out a separate form for each family, or unrelated person living in your household. Include students, military personnel or other living away from home temporarily.
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
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Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Children, beginning with the oldest:
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Other related person(s) living at home/Relationship
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
Sex:
Male
Female
Race or Origin
Select One (Optional)
White, not of Hispanic Origin
Black of African American
Hispanic or Latino
Asian
Other
Marital Status
Select One (Optional)
Never Married
Now Married
Divorce
Seperated
Widowed
Is marriage recognized by the Catholic Church?
Yes
No
Baptized?
Yes
No
Confirmed?
Yes
No
Catholic?
Yes
No
** Information voluntarily provided about race and/or origin is used to plan for and better serve the pastoral needs of the Diocese