New Parishioner Registration Form

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New Parishioner Registration Form

To Register As A Parishioner Of Holy Spirit

Please Complete The Following Information

New Parishioner Registration Form

Title

Your Full Name (First, Middle, and Last)

Maiden Name

Male or Female

Birth Date (Month/Day/Year)

Marital Status

Is the marriage recognized by the Catholic Church

Yes

No

Email

Phone Number (Home)

Phone Number (Cell)

Phone Number (Work)

Street Address

City, State, Zip

Religion

Sacramental Information

Baptized

First Communion

Confirmed

None of the Above

Attends Mass

Disabilities

Profession

Title

Spouse's Name (First, Middle, and Last)

Maiden Name

Birth Date

Spouse's Email Address

Spouse's Phone (Cell)

Spouse's Phone (Work)

Religion

Sacramental Information

Baptized

First Communion

Confirmed

None of the above

Attends Mass

Disabilities

Profession

Child's Name (1)

Gender

Birth Date (Month/Day/Year)

Grade Level

Years of Catholic Education or Parish Religious Education

Sacramental Information

Baptized

First Communion

Confirmed

None of the Above

Child's Name (2)

Gender

Birth Date (Month/Day/Year)

Grade Level

Years of Catholic Education or Parish Religious Education

Sacramental Information

Baptized

First Communion

Confirmed

None of the Above

Child's Name (3)

Gender

Birth Date (Month/Day/Year)

Grade Level

Years of Catholic Education or Parish Religious Education

Sacramental Information

Baptized

First Communion

Confirmed

None of the Above

Child's Name (4)

Gender

Birth Date (Month/Day/Year)

Grade Level

Years of Catholic Education or Parish Religious Education

Sacramental Information

Baptized

First Communion

Confirmed

None of the Above

Additional Children

Please note if any of your children have special needs or disabilities:

Comments:

New parishioners are listed in the bulletin on a quarterly basis, with the bulletin being published online. Is it OK to publish names in the bulletin?

Yes

No

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parishoffice@holyspiritunoh.org

Holy Spirit Catholic Church

2952 Edison St. NW

Uniontown, OH 44685

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