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Saint Alphonsus Parish Registration Form 

Saint Alphonsus Parish Registration Form 

Please fill out form for each family member

Family Name (Last Name Only)

Address

Street Address

Address line 2

City

State

Postal / Zip Code

Country

Email Address

Telephone Number

Parish in which Residence is Located

Parish Number (OFFICE USE ONLY)

Wife's Maiden Name

Parish Attending if Different than Above

First Name Middle Initial

Occupation and Place of Employment

Sex

Year of Birth

Catholic

Baptized

Convert

1st Communion

Confirmed

Receiving Religious Instructions

Marital Status

Attending School

Grade

Highest Grade Completed

Employment Status

CCD Experience

Belong to Parish Organization

Use Church Envelope to Tithe

Use eGiving to Tithe

Married by Priest

Easter Duty

Attend Mass

Check Here If You Receive the Diocesan Paper

Check Here If You Subscribe to Any Other Catholic Magazine

Check Here If Any Member of the Family Is:

Bedridden

Confined to Home

Mentally Disabled

Deaf

Blind

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