New Parishioner Registration Form 1

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New Parishioner Registration Form 1

New Parishioner Registration Form

Family Name:

Title; Mr, Mrs, Miss, Dr, Mr & Mrs or other:

Phone:

Street Address:

City, State, Zip:

Email:

Head of Household:

Gender

Date of Birth:

Marital status

If Married, was it in a Catholic Church?

Yes

No

If Married Please list Date, Church, City/State

Grade/Degree, Occupation

Disability:

Religion:

Sacrements:

Baptism

First Holy Communion

Confirmation

Please provide all pertinent information on your Sacrements (Please provide as much info as possible)

Family Member # 2 Name

Gender:

Relationship to Head of Household:

Date of Birth:

Marital Status:

If Married in a Catholic Church?

Yes

No

Grade/Degree Occupation

Disability:

Religion:

Sacrements:

Baptism

First Holy Communion

Confirmation

Please provide the dates & Church information of all your Sacraments (Please list as much as possible)

Please list all the information for additional family members. Please include all the same information as you did above, including your relationship to each additional person.

Thank you for registering at St. Peter RC Parish.

Someone will contact you soon.

God Bless!

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Niagara Frontier Catholic Community

St. Peter - Lewiston * St. Bernard - Youngstown

Immaculate Conception - Ransomville

Family Office:
620 Center St
Lewiston, NY 14092

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