|
Husband |
Wife |
Child |
Child |
Other |
| First Name |
|
|
|
|
|
Last Name
if different |
|
|
|
|
|
Marital
Status |
|
|
|
|
|
| Religion |
|
|
|
|
|
| Handicap |
|
|
|
|
|
| Languages |
|
|
|
|
|
| Occupation |
|
|
|
|
|
| Job Location |
|
|
|
|
|
Grade in
School |
|
|
|
|
|
| Sex |
M
F |
M F |
M
F |
M
F |
M F |
Birth
Date |
|
|
|
|
|
| Baptized? |
|
|
|
|
|
Date
Baptism |
|
|
|
|
|
1st
Communion |
|
|
|
|
|
1st Comm
Date |
|
|
|
|
|
1st
Penance |
|
|
|
|
|
1st Penance
Date |
|
|
|
|
|
| Confirmation |
|
|
|
|
|
Confirmation
Date |
|
|
|
|
|
| Marriage Info |
|
|
|
|
|
| Ministries |
|
|
|
|
|
Would
Volunteer for |
|
|
|
|
|
| Hobbies |
|
|
|
|
|
| Talents |
|
|
|
|
|
| |
|
|
|
|
|
| Call the Rectory at
508-543-7726 or send an email to St.Maryfox@verizon.net
with any questions or to request a paper copy of
the Registration form. |
