Holy Name of Jesus Chinese Catholic Church
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Parish Registration Form
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Parish Registration Form
Parish Registration
Head of Household (Last Name, First Name, Middle Initial):
*
Address:
*
Phone:
*
Email:
*
Marital status:
*
Single
Married
Divorced
Spouse's Name (Last Name, First Name): Please use maiden name if applicable
Head of Household occupation:
Spouse's occupation:
Previous parish (if applicable):
Name of family member (1):
Name of family member (2):
Name of family member (3):
Name of family member (4):
Name of family member (5):
Name of family member (6):
If you have additional family members, please list their names here:
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