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Parish Registration

Head of Household Information
First Name:
Last Name:
Middle Initial:
Maiden (Name):
Religion:
Date of Birth:
Gender:
Baptized?
1st Communion?
Reconciliation?
Confirmation?
Marital Status:
       
Occupation:
Marriage Date:
Catholic Church/City:
Other Ceremony:

Spouse Information
First Name:
Last Name:
Middle Initial:
Maiden (Name):
Religion:
Date of Birth:
Gender:
Baptized?
1st Communion?
Reconciliation?
Confirmation?
Marital Status:
       
Occupation:

Address Information
Address:
City:
State:
Zip:
Primary Phone:
Secondary Phone:
Email:

Send E-Mail instead of mail when possible?

Children at Home
Full Name (First, Middle, Last) Catholic M/F Birth Date Grade/School Baptism Eucharist Confirmation































Do you wish to receive the Diocesan newspaper, The Catholic Herald?:
We publish names of our parish members in many ways throughout the year: in our bulletin and other publications. If you specifically don’t want your name OR picture to appear in any of these, please e-mail your request to Sharon Ouimette at sharon.ouimette@sacred-hearts.org.
Do you have any specific talents/skills that you would like to make the parish staff aware of? Would you be willing to share your talents/skills if the Parish may need you? Please describe:
List family members who are Sacred Hearts School Alumni:
Please list any disabilities of any family members that we should be aware of:
Please tell us if any family members are shut-in:
Please list languages (other than English) spoken by family members: