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St. Mary of the Annunciation Parish Family Registration Form

24 Conant Street, Danvers, MA 01923

Family Information
Last Name:
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First Name(s):
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Mailing Name:
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(ie Mr. & Mrs. John Doe)
Address:
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Phone Number: --
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Emergency Phone Number: --
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Family E-mail Address:
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Individual Member Information (adult 1)
Information on Dependent Children should be listed in the Dependent Children section
Role:
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(Head of House, Husband, Wife etc.)
Name:
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Nickname:
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Gender:
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Date of Birth //
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E-mail:
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Home Phone Number: --
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Cell Phone Number: --
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Occupation/Employer:
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Catholic?
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Marital Status:
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(Single, Married, Separated, Divorced, Annulled)
Sacraments Received?
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Individual Member Information (adult 2):
Role:
  •  
(Head of House, Husband, Wife etc.)
Name
  •  
Nickname:
  •  
Gender:
  •  
Date of Birth: //
  •  
E-mail:
  •  
Home Phone Number: --
  •  
Cell Phone Number: --
  •  
Occupation/Employer:
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Catholic?
  •  
Marital Status:
  •  
(Single, Married, Separated, Divorced, Annulled)
Sacraments Received?
  •  
Dependent Child Information (1)
Relationship to Head of Household:
  •  
(ie son, daughter, granddaughter, grandson, mother, father etc)
Name
  •  
Gender:
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Date of Birth: //
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(MM/DD/YYYY)
School:
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Catholic?
  •  
Baptism?
  •  
First Eucharist?
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Reconciliation?
  •  
Confirmation?
  •  
Dependent Child Information (2)
Relationship to Head of Household:
  •  
Name
  •  
Gender:
  •  
Date of Birth: //
  •  
MM/DD/YYYY
School:
  •  
Catholic?
  •  
Baptism?
  •  
First Eucharist?
  •  
Reconciliation?
  •  
Confirmation?
  •  
Dependent Child (3)
Relationship to Head of Household:
  •  
Name:
  •  
Gender:
  •  
Date of Birth: //
  •  
MM/DD/YYYY
School
  •  
Catholic?
  •  
Baptism?
  •  
First Eucharist?
  •  
Reconciliation?
  •  
Confirmation?
  •  
General Information
If you need to add additional members of your family please fill out another form.
Information you would like us to know about you and your family
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(ie just moved, switching Churches, coming back, child(ren) registered for Religious Education etc)
Would you like any of the following to be sent to you?
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Where did you hear about St. Mary's Parish?
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