Click Submit Form to send this information to Assumption B.V.M. Church.

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*Registration Option Register a New Family Update an Existing Family *ID/Env:  
Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Penance
   First Communion
   Confirmation
   Matrimony
Ministries   Name Interested in Joining
  
  
  
  
  
Talents   Name Interested in Joining
  
  
  
  
  
Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Penance
   First Communion
   Confirmation
   Matrimony
Ministries   Name Interested in Joining
  
  
  
  
  
Talents   Name Interested in Joining
  
  
  
  
  
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Alternate Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks
Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Penance
   First Communion
   Confirmation
   Matrimony
Ministries   Name Interested in Joining
  
  
  
  
  
Talents   Name Interested in Joining
  
  
  
  
  

Click Submit Form to send this information to Assumption B.V.M. Church.

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