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St. Joseph Parish, Gaines at 9450 Duffield Road/P. O Box 145, Gaines, MI 48436 US - Parish Registration Form

Parish Registration Form

Family Information
Family Name: *
Address:
City:
Zip:
Phone:
Email Address: *
Verify Email: *
Adults Over 18
Husband Wife
Name: Name:
Occupation: Maiden Name:
Place Of Work: Occupation:
Birth Date: Place Of Work:
Catholic:


Birth Date:
Baptized:



Catholic:
First Communion:



Baptized:
Confirmed:



First Communion:
Marital Status: Confirmed:
    Marital Status:

Adult 1 Adult 2
Name: Name:
Occupation: Occupation
Place Of Work: Place Of Work:
Birth Date: Birth Date:
Catholic:


Catholic:
Baptized:



Baptized:
First Communion:



First Communion:
Confirmed:



Confirmed:
Marital Status: Marital Status:
Children 18 Or Younger
Child 1 Child 2
Name: Name:
School & Grade: School & Grade:
Gender: Gender:
Birthdate:

Birthdate:
Baptized:



Baptized:
First Communion:



First Communion:
Confirmed:



Confirmed:
Attends CCD:


Attends CCD:
       
   

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