THE HOLY SPIRIT ROMAN CATHOLIC CHURCH
REGISTRATION FORM

Head of Household
Household First Name: Household Last Name: Today Date:
Address: City: State: Zip Code:
Home Phone: Cell Phone: Household Email:
Marital Status: Single Married Cohab. Separated Divorced

Adult Male
First Name: Last Name: Birth Date: Religion:
Employer: Address: Phone: Occupation:
Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending Catholic Marriage: Yes No Pending

Adult Female
First Name: Last Name: Birth Date: Religion:
Employer: Address: Phone: Occupation:
Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending Catholic Marriage: Yes No Pending

Child
First Name: Last Name: Birth Date: Gender:
Religion: Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending

Child
First Name: Last Name: Birth Date: Gender:
Religion: Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending

Child
First Name: Last Name: Birth Date: Gender:
Religion: Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending

Child
First Name: Last Name: Birth Date: Gender:
Religion: Baptism: Yes No Pending 1st Communion: Yes No Pending Confirmation: Yes No Pending

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