St. Elizabeth Ann Seton Parish Catholic Church

Parishioner Information
 

Please check one of the following:    New Parishioner
                                                               Existing Parishioner wanting to update information

Family Last Name:      First Name:       Spouse's Name:  

               Address:                  Subdivision:

                       City:        State:                Zip:

                   Phone:                           Cell:     

                  E-Mail: 

       Moved From:      Previous Parish:     Registered By:

Please enter the following information about your family. If you need more columns, please feel free to submit another another form with additional information.

MEMBER HEAD SPOUSE CHILD 1 CHILD 2 CHILD 3 CHILD 4
First Name
Last Name / Maiden Name
Marital Status        
Religion
Baptism
1st Communion
1st Penance
Confirmation
School Grade    
Occupation        
Birth date
Male / Female

 If Married, is the marriage valid in the Catholic Church? Yes    No

Would you like information on Electronic Fund Transfer? Yes    No

Comments (Please hit your "ENTER" key at the end of each line.)
                       

  Please make sure to click this "Submit" button when finished. 

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