NATIVITY CATHOLIC CHURCH REGISTRATION

 

PLEASE NOTE: You must enter information into every white space on this form. If it does not apply to you, you must enter N/A (not applicable). If you receive an error message, please click the 'back button' on your browser and enter the required information, or enter N/A (not applicable). ALL INFORMATION IS FOR CHURCH RECORDS ONLY AND IS STRICTLY CONFIDENTIAL.

Last Name:
Street Address:
City: Zip Code:
Phone Number: Unlisted?
Email: Seasonal Resident Permanent Resident
Married (in Catholic Church) Married (in another Church) Married (Civil Ceremony)
Single Divorced Widowed

Head of Household

Last: First: Middle Initial:
Male Female    
Baptism? First Communion? Confirmation?
Religious Denomination: Handicap:
Languages Spoken: Occupation:
Place of Employment: Business Phone:
Date of Birth: Date of Marriage: Education Level:

Spouse

Last: First: Middle Initial:
Male Female    
Baptism? First Communion? Confirmation?
Religious Denomination: Handicap:
Languages Spoken: Occupation:
Place of Employment: Business Phone:
Date of Birth: Date of Marriage: Education Level:

Child 1 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:

Child 2 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  

Child 3 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  

Child 4 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  

More children or others living at home? Comments?  Please use the area below.

Weekly Contribution Envelopes
You should receive weekly contribution envelopes in about 10 working days.