Saint Theresa Parish Registration Form

 

 

 

Family Last Name
Text (Single Line)
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Address
Address
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Phone
At least one phone number is required
Work Phone -- ext
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Home Phone --
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Cell Phone --
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Email Address
For receiving parish information
E-mail
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HEAD OF HOUSEHOLD INFORMATION
Name
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Provide Full Name
Birthdate //
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Gender
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Maiden Name
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if applicable
Occupation
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Ethnicity
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Religion
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Sacramental Information
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Marital Status
Marital Status
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Married by a Priest/Deacon?
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Marriage Date //
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SPOUSE INFORMATION
Full Name
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Maiden Name
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Birthdate //
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Gender
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Occupation
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Ethnicity
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Religion
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Sacramental Information
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CHILDREN/DEPENDENTS LIVING AT HOME
Exclude young adults 23 years and older
DEPENDENT #1FULL NAME
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Birthdate //
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Gender
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Religion
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School
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Current Grade
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Sacramental Information
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DEPENDENT #2 FULL NAME
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Birthdate //
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Gender
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Religion
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School
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Current Grade
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Sacramental Information
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DEPENDENT #3 FULL NAME
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Birthdate //
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Gender
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Religion
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School
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Current Grade
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Sacramental Information
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DEPENDENT #4 FULL NAME
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Birthdate //
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Gender
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Religion
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School
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Current Grade
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Sacramental Information
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DEPENDENT #5 FULL NAME
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Birthdate //
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Gender
  •  
Religion
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School
  •  
Current Grade
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Sacramental Information
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DEPENDENT #6 FULL NAME
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Birthdate //
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Religion
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Gender
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School
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Current Grade
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Sacramental Information
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Giving
Saint Theresa is a tithing parish and provides two options for the weekly offertory and special collections.
Please Check One for your Preference:
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If Online giving is elected, which do you prefer to receive?
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