(Confidential, for church use only)

 

Please block copy into Word or other word processing program, fill in and return to the church office by email to

stanthonystgeorge@yahoo.com.

 

 

ST. ANTHONY + ST. GEORGE MARONITE CATHOLIC PARISH

 

PARISH REGISTRATION FORM



 

FAMILY  LAST  NAME                                                                 PHONE  NUMBER

 

ADDRESS

 

STATE                                             ZIP CODE                             E-MAIL

HUSBAND  OR  SINGLE   MALE

 

FIRST   NAME                                  MIDDLE  NAME            

 

 MARITAL  STATUS    _____SINGLE

 

                                         _____MARRIED DATE OF  MARRIAGE__________________

                                         

                                         _____WIDOW(ER) DATE  OF DECEASED_________________

 

                                          _____DIVORCED - DATE OF DIVORCE ___________________

RELIGION:    

(   )  MARONITE   (   ) LATIN   (   ) BYZANTINE  (   ) OTHER   _______________________

 

OCCUPATION____________________________BUSINESS__________________________

 

DO YOU TAKE PART IN ANY OF THESE  PARISH ORGANIZATIONS:

(   ) ADVISORY BOARD  (   ) LECTOR  (   ) MRE  TEACHER  (   ) CHOIR

(   ) OTHER ______________

WIFE  OR  SINGLE  FEMALE

 

FIRST  NAME                                             MIDDLE  NAME

 

MARITAL STATUS   _____SINGLE

 

                                      _____MARRIED DATE OF MARRIAGE____________________

 

                                      _____WIDOW(ER) DATE OF DECEASED__________________

 

                                       _____DIVORCED DATE OF DIVORCE____________________

RELIGION:

(  ) MARONITE  (   ) LATIN  (   ) BYZANTINE  (   ) OTHER  ______________________

 

OCCUPATION____________________________BUSINESS_________________________

 

DO YOU TAKE PART IN ANY OF THESE PARISH ORGANIZATIONS:

(  ) ADVISORY BOARD  (  ) ALTAR & ROSARY  (  )  LECTOR  (  ) MRE  TEACHER

 

(  ) CHOIR  (  ) OTHER  ____________________.


 

DEPENDENT  CHILDREN

 

1.

FIRST  AND  LAST  NAME                                                           DATE  OF  BIRTH

 

(  ) MALE                     (  ) BAPTIZED                               PARISH ORGANIZATIONS:

(  ) FEMALE                (  ) CONFIRMED                           (  ) MRE  CLASSES

                                     (  ) FIRST COMMUNION              (  ) MYO  OR  (  )  MYA

                                                                                              (  ) CHOIR       (  ) SERVER

                                                      

2.

FIRST  AND  LAST  NAME                                                           DATE  OF  BIRTH

 

(  ) MALE                     (  ) BAPTIZED                               PARISH ORGANIZATIONS:

(  ) FEMALE                (  ) CONFIRMED                           (  ) MRE  CLASSES

                                     (  ) FIRST COMMUNION              (  ) MYO  OR  (  )  MYA

                                                                                              (  ) CHOIR       (  ) SERVER

                                                      

3.

FIRST  AND  LAST  NAME                                                           DATE  OF  BIRTH

 

(  ) MALE                     (  ) BAPTIZED                               PARISH ORGANIZATIONS:

(  ) FEMALE                (  ) CONFIRMED                           (  ) MRE  CLASSES

                                     (  ) FIRST COMMUNION              (  ) MYO  OR  (  )  MYA

                                                                                              (  ) CHOIR       (  ) SERVER

                                                      

4.

FIRST  AND  LAST  NAME                                                           DATE  OF  BIRTH

 

(  ) MALE                     (  ) BAPTIZED                               PARISH ORGANIZATIONS:

(  ) FEMALE                (  ) CONFIRMED                           (  ) MRE  CLASSES

                                     (  ) FIRST COMMUNION              (  ) MYO  OR  (  )  MYA

                                                                                              (  ) CHOIR       (  ) SERVER

                                                      

 

 

revised 9/1/06