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Parish Registration Form

Family Registration Form

  • For date fields (mm/dd/yyyy) please double click on each section separately, then move on to next field. A correct format would be 07/18/1984, for example.
  • When you submit this form, all of the information will be sent by e-mail to Sacred Heart Church.

* Required fields
Head of Household
Title * First Name * Last Name Suffix
Birth Date:   * Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
Spouse
Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
Address
* Line 1
   Line 2
* City
* State
* ZIP
   E-Mail
  Send E-Mail Instead of Mail When Possible
Phone
* Primary ( ) - Unlisted
   Other ( ) - Unlisted
 

Member 1 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
 

Member 2 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
 

Member 3 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
 

Member 4 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm
 

Member 5 - Type

Title First Name Last Name Suffix
Birth Date:   Gender:  Female  Male
Sacraments Rcv      Date
Baptism
1st Comm
Penance
Confirm

When you submit this form, all of the information will be sent by e-mail to Sacred Heart Church.

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