Order Number Family Information Head of Household First, Middle Names * Last Name * Date of Birth * Religion Occupation Spouse First, Middle Names Last Name Date of Birth Religion Occupation Marital Status * Single Married (Civil) Married (Church) Divorced Widowed Date Married Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Contact Information Phone Primary (Home) * Head (Cell) * Head (Work) Spouse (Cell) Email Address (Head) * Email Address (Work) Email Address (Spouse) * Email Address (Spouse - Work) Children at Home Child 1 Full Name Date of Birth Gender Male Female Baptism Date First Communion Date Confirmation Date Child 2 Full Name Date of Birth Gender Male Female Baptism Date First Communion Date Confirmation Date Child 3 Full Name Date of Birth Gender Male Female Baptism Date First Communion Date Confirmation Date Parish Ministries or Activities Please indicate any of the following parish ministries, organizations or activities that you, your spouse or any family member may be interested in joining. Ministry Liturgy Altar Care Altar Server Usher Music Adult Choir Cantor Children's Choir Musician Religious Education Family Night RCIA VBS Youth Group High School (Gr 9-12) Junior High (Gr 7-8) Pastoral Care Bereavement Lunch Transportation to Mass Prayer Network Organizations / Activities Organizations Daughters of St. Ann Jarrow Club The Men of St. Joseph Dorcas Society Knights of Columbus Council 893 Activities Coffee & Donuts Spring Festival Volunteer Liturgical Decorations Parish Work Days St. Bede Gift Shop Pro-Life Perpetual Adoration Special Needs Please indicate any special needs that we should be aware of. Blind Myself Spouse Child Other Visually Impaired Myself Spouse Child Other Deaf Myself Spouse Child Other Physically Impaired Myself Spouse Child Other Homebound Myself Spouse Child Other Without Transportation Myself Spouse Child Other Comments or Questions Tithing Envelopes mailed to my address Online Giving Skills and Interests
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