Registration

Date:   

Please fill in the appropriate blanks below.  

Be as complete as possible and enter NA for non-applicable blanks

Click on appropriate buttons/check boxes as necessary
New registration Update existing registration
Remove my family from St George Parish records, we are no longer attending

Date

Husband

Date  of Birth

First Name Last Name month/day/year
 

Husband's Religion

    
Baptized

Confirmed?

Wife Date  of Birth
First Name Last Name month/day/year
 

Wife's Religion

 Maiden Name
Baptized

Confirmed?

Marriage
Church Civil Divorced Single

   Date Married
month/day/year
Address
Street City
Phone

Phone Unlisted ?

Yes No
 

E-mail

Children Still Living at home

Age

Birth date

(Mo/Day/Yr)

Baptism Date

(Mo/Day/Yr)

 Communion Confirmation

School Attending

 Grade

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Yes No
Yes No

Please check the appropriate boxes if you are currently or would like to be active in the following
  Lector Minister of Communion Usher
Husband

Wife

What Mass are you currently attending?
Saturday 4:00PM   Sunday 9:00AM
Do you wish to continue receiving envelopes Yes No

Comments?

If you have any question, please feel free to contact parish office at 588-4323