ONLINE REGISTRATION

Registration Date REQUIRED Please fill out this field. Please enter valid data.

I am registering for: REQUIRED St. Gabriel the Archangel Please fill out this field.

Previous Parish REQUIRED Please fill out this field. Please enter valid data.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

Address Line 2 Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email (best one to use for family contact) REQUIRED Please fill out this field. Please enter an email address.

Phone Number (best one to use for family contact) REQUIRED Please fill out this field. Please enter a phone number.

HEAD OF HOUSEHOLD

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First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Birthdate REQUIRED Please fill out this field. Please enter valid data.

Status REQUIRED Single/Head of Household Married/Head of Household Divorced/Head of Household Widowed/Head of Household Please fill out this field.

If married, who were you married by? Catholic Priest or Deacon Other (Justice of the Peace or non Catholic Clergy)

Date of Marriage Please enter valid data.

Church/Place of Marriage (Please include City & State) Please enter valid data.

Sacraments Received (Please fill in all that apply)

Baptism

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Church of Baptism (please include city & state) Please enter valid data.

First Communion

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Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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Church of Confirmation (please include city & state) Please enter valid data.

Occupation (if retired-enter retired) REQUIRED Please fill out this field. Please enter valid data.

Personal Email Please enter an email address.

Cell Phone Number Please enter valid data.

ADULT #2

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Last Name Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Birthdate Please enter valid data.

Status of Adult #2 Wife Husband Other Adult in Household

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Status Single Married Divorced Widowed

If married, who were you married by? Catholic Priest or Deacon Other (Justice of the Peace or non Catholic Clergy)

Date of Marriage Please enter valid data.

Church/Place of Marriage (Please include City & State) Please enter valid data.

Sacraments Received (Please fill in all that apply)

Baptism

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YES NO

Church of Baptism (please include city & state) Please enter valid data.

First Communion

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Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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Church of Confirmation (please include city & state) Please enter valid data.

Occupation (if retired-enter retired) Please enter valid data.

Personal Email Please enter an email address.

Cell Phone Number Please enter valid data.

DEPENDENT CHILDREN AT HOME (21 & under)

Child #1

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Last Name Please enter valid data.

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Sacraments Received (Please fill in all that apply)

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Baptism

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Church of Baptism (please include city & state) Please enter valid data.

First Communion

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Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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Church of Confirmation (please include city & state)

Church, City, State

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Child #2

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First Name Please enter valid data.

Last Name Please enter valid data.

Birthdate Please enter valid data.

Sacraments Received (Please fill in all that apply)

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Baptism

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Church of Baptism (please include city & state) Please enter valid data.

First Communion

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Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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Church of Confirmation (please include city & state) Please enter valid data.

Child #3

First Name Please enter valid data.

Last Name Please enter valid data.

Birthdate Please enter valid data.

Sacraments Received (Please fill in all that apply)

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Baptism

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YES NO

Church of Baptism (please include city & state) Please enter valid data.

First Communion

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Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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Church of Confirmation (please include city & state)

Church, City, State

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Include Middle Initial or Middle Name with First Name

Child #4

First Name Please enter valid data.

Last Name Please enter valid data.

Birthdate Please enter valid data.

Sacraments Received (Please fill in all that apply)

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Baptism

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YES NO

Church of Baptism (please include city & state) Please enter valid data.

First Communion

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YES NO

Church of First Communion (please include city & state) Please enter valid data.

Confirmation

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YES NO

Church of Confirmation (please include city & state)

Church, City, State

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Use this area to list any addition children following the above categories

St. Gabriel the Archangel Parish

New Bedford, MA