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(Print this page ONLY in PORTRAIT view)
ST. PAUL CHONG HASANG CATHOLIC CHURCH
PARISH REGISTRATION FORM
WELCOME!
TODAY'S DATE: __________________
FAMILY NAME
___________________________________________________
ADDRESS
___________________________________________________
CITY
___________________________________________________
PHONE __________________
Husband's Name _______________________________
Military Rank _______
Birthday ________ Religion ______________________
(Below...Please check the Sacraments you have received)
____Baptism ____Eucharist
____Confirmation
Wife's Name _______________ (Maiden) ____________ Military
Rank _______
Birthday ________ Religion ______________________
(Below...Please check the Sacraments you have received)
____Baptism ____Eucharist
____Confirmation
Marital Status ____ Single ____ Married
____ Separated ____ Divorced
Married by: ____ Catholic Church
____ Civil ____ Other Church
CHILDREN: (Only those living at the above address. Please
mark the year your child received the following Sacraments. If your child has a
different last name, please indicate.)
1. _______________________ M/F Date of Birth __________
Grade ____
____ Baptism ____ Eucharist
____ Confirmation
2. _______________________ M/F Date of Birth __________ Grade
____
____ Baptism ____ Eucharist
____ Confirmation
3. _______________________ M/F Date of Birth __________ Grade
____
____ Baptism ____ Eucharist
____ Confirmation
4. _______________________ M/F Date of Birth __________ Grade
____
____ Baptism ____ Eucharist
____ Confirmation
5. _______________________ M/F Date of Birth __________ Grade
____
____ Baptism ____ Eucharist
____ Confirmation
We wish to begin using the Weekly Envelopes ____ YES
____ NO
PLEASE INDICATE HOW MAIL SHOULD BE ADDRESSED TO YOUR FAMILY:
Name ________________________________________________________
Address ______________________________________________________

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