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HOUSEHOLD NAME(s) Street Address: Town: State: Zip Code: Home Telephone: Home E-Mail:
PREVIOUS PARISH Parish where you (and/or your family) were last members. Name: Street Address: Town: State: Zip Code:
DO YOU WISH FOR US TO REQUEST A LETTER OF TRANSFER TO ST. PETER'S FROM YOUR PREVIOUS PARISH? Yes Not at this time.
I have the following questions/concerns about membership at St. Peter's:
ADULTS Name: Goes by: Date of Birth: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: Work telephone: Work E-Mail: Name: Goes by: Date of Birth: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: Work telephone: Work E-Mail: If married, date of marriage:
CHILDREN LIVING AT HOME Name: Date of Birth: Relationship (child, niece, foster child, etc): Grade in school: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: Name: Date of Birth: Relationship (child, niece, foster child, etc): Grade in school: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: Name: Date of Birth: Relationship (child, niece, foster child, etc): Grade in school: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: Name: Date of Birth: Relationship (child, niece, foster child, etc): Grade in school: Date of Baptism: Place of Baptism: Name of Church: Date of Confirmation: Denomination Confirmation: