Parish Registration

Family Information

Full Name*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone Number

Cell Phone Number*

Email Address*

Date of Birth*

Sacraments*

Which Sacraments have you received

Marital Status*

Do you have children under 21 yrs old at home?*

Spouse's Full Name*

Spouse's Date of Birth*

Spouse's Sacraments*

Which Sacraments has your spouse received

Do any of your children that go to St. Thecla School?*

Children (Under 21yrs)*

Please list all children living in your household under the age of 21. Click the ‘+’ to add more

Name	Date of Birth	Sacraments Received

Stewardship Opportunities

Please check all boxes that you would be interested in participating.

Family Special Needs (Homebound, Annulment, House Blessing, etc.)

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Comments

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