St. Andrew The Apostle Roman Catholic Parish Parish Registration Form Page 2

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Child
Last Name
First
Middle Initial
Suffix: ☐ J r . ☐ I I I ☐ I V
☐M
☐F
Gender:
Relation to Head of Household: ☐child ☐stepchild ☐grandchild ☐other
Religion
Grade
Date of Birth
Place
Sacraments received: ☐Baptism
☐ 1st Confession
☐ 1st Communion
☐Confirmation
Child
Last Name
First
Middle Initial
Suffix: ☐ J r . ☐ I I I ☐ I V
☐M
☐F
Gender:
Relation to Head of Household: ☐child ☐stepchild ☐grandchild ☐other
Religion
Place
Grade
Date of Birth
Sacraments received: ☐Baptism
☐ 1st Confession
☐ 1st Communion
☐Confirmation
Child
Last Name
First
Middle Initial
Suffix: ☐ J r . ☐ I I I ☐ I V
☐M
☐F
Gender:
Relation to Head of Household: ☐child ☐stepchild ☐grandchild ☐other
Religion
Place
Grade
Date of Birth
Sacraments received: ☐Baptism
☐ 1st Confession
☐ 1st Communion
☐Confirmation
Child
Last Name
First
Middle Initial
Suffix: ☐ J r . ☐ I I I ☐ I V
☐M
☐F
Gender:
Relation to Head of Household: ☐child ☐stepchild ☐grandchild ☐other
Religion
Place
Grade
Date of Birth
Sacraments received: ☐Baptism
☐ 1st Confession
☐ 1st Communion
☐Confirmation
Child
Last Name
First
Middle Initial
Suffix: ☐ J r . ☐ I I I ☐ I V
☐M
☐F
Gender:
Relation to Head of Household: ☐child ☐stepchild ☐grandchild ☐other
Religion
Place
Grade
Date of Birth
☐Baptism
☐ 1st Confession
☐ 1st Communion
☐Confirmation
Sacraments received:

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