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• St. Gregory the Great Parish Registration Form

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  • Family Name REQUIRED Please fill out this field. Please enter valid data.
  • Date REQUIRED Please fill out this field. Please enter a date.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Cell Phone Number Maximum 20 characters Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Would you like to receive envelopes? REQUIRED Yes No Please fill out this field.
  • Marital Status None Married (Church) Married (Civil) Separated Divorced Widowed Single

  • List Only Those Living with You (including last name if different)

  • Single
    • Complete this section for a Single person.
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Date of Birth Please enter a date.
    • Country of Birth Please enter valid data.
    • Religion Please enter valid data.
    • Baptism Yes No
    • First Communion Yes No
    • Confirmation Yes No
  • Husband
    • Complete this section if applicable.
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Date of Birth Please enter a date.
    • Country of Birth Please enter valid data.
    • Religion Please enter valid data.
    • Baptism Yes No
    • First Communion Yes No
    • Confirmation Yes No
  • Wife
    • Complete this section if applicable.
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Date of Birth Please enter a date.
    • Country of Birth Please enter valid data.
    • Religion Please enter valid data.
    • Baptism Yes No
    • First Communion Yes No
    • Confirmation Yes No
  • • Children REQUIRED Please fill out this field.
    • Child 1
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 2
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 3
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 4
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 5
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 6
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 7
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 8
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 9
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 10
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.
    • Child 11
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Is child: Male Female
      • Date of Birth: REQUIRED Please fill out this field. Please enter a date.
      • Country of Birth Please enter valid data.
      • Religion Please enter valid data.
      • Baptism Yes No
      • Confirmation Yes No
      • First Communion Yes No
      • School Please enter valid data.

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