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Confirm
FAMILY REGISTRATION
Today's Date
# of Years in Parish
Family ID#
Mailing Preference Select oneEnglishSpanish
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Family Name
Head: Last
First
Title
Suffix
Spouse: Last
Mailing Name Street Address Line 1 Street Address Line 2
City
State
Zip
Family Status —Please choose an option—MarriedSeparatedDivorcedWidowedSingle
Family Residence —Please choose an option—TenantOwner
Phone
Location —Please choose an option—HomeOfficeCellOther
Unlisted —Please choose an option—YesNo
Email
Send Email? Select oneYesNo
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Next
Mailing Address (if different)
Street Address Line 1 Street Address Line 2
Date range you expect to be at this address:
From
To
Alternate Address Remarks:
List only those living with you (include last name if different)
Others Living With You & Relationship
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FirstPrevious
[step_confirm]
NOTE: Please verify that all informations entered here are accurate. A verification email from SPAPHILLY.ORG with a copy of this registration will be sent to your registered email. Check the spam or junk folder if the verification email is not in the inbox folder.
-----IMPORTANT NEXT STEP-----
Once the "Send" button is clicked, please follow the instruction on the new page to fill out a MEMBER FORM for each person in the household.
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Email (must match with the email given in the Family Form)
MEMBER REGISTRATION Member Name:
Last
Middle
Title—Please choose an option—Mr.Mrs.Ms.MissOther
Other Title
Maiden Name
Personal Information:
Relationship—Please choose an option—SelfSpouseChildOther
Other
Gender—Please choose an option—MaleFemale
Date of Birth
Marital Status—Please choose an option—MarriedSeparatedDivorcedWidowedSingle
Religion
Ethnicity
Grade/Degree
Language(s) Spoken at Home
Occupation
Disability
Location
Homebound due toAgingIllnessPhysical DisabilityMental Disability
I'm interested in having a home visit Select oneYesNo
Type—Please choose an option—HomeCellOfficeOther
Prefer Email? Select oneYesNo
Remarks
Birthplace
Birth Father
Birth Mother
Baptism Select oneYesNo
Date
Church Name
First Communion Select oneYesNo
Confirmation Select oneYesNo
Marriage Select oneYesNo
I am interested in receiving my sacraments. Please contact me. Select oneYesNo I am interested in the priesthood or religious life. Please contact me. Select oneYesNo Mass Attendance—Please choose an option—RegularOccasionalHomebound I am involved with the following church societies/ministries Altar ServerUsherHospitalityLectorEucharistic MinisterChoirSacred HeartLegion of MaryCharismatic Prayer GroupOther: Other I would like to volunteer for the following ministries
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You've the option to add more members on the new page once you've successfully submitted this form.