Registration of Children.  Please use as many pages as necessary, beginning with the oldest child.  Please do not include anyone who is 21 years of age or older.  Such people need to register on their own.  The other registration pages are located at the bottom of the page.

Child Page

Last name

First Name:    Middle Name 

Male    Female            Date of Birth:

Mail Address

Location Address 

Village / City     State     Zip 

Home Phone   Work Phone

Cellular Phone   E-mail

Sacraments

Baptism:              Yes    No    Where 
                                                         When   

Confirmation:    Yes    No    Where 
                                                         When   

Please select all of the following that apply.

Mass Attendance            Daily    Weekly    Occasionally    Seldom

Receive Communion     Daily    Weekly    Occasionally    Seldom

Please List Talents And Skills:

Please Indicate Any Special Needs Of Anyone in Your Family:

Other Registration Pages:
Head of Household Page
Spouse Page

Home Page