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Parish Registration

Parish Registration

: St. Vincent Catholic Church Parish Registration
Head of Family Full Name:: (ex: Jon E. Doe)
Male or Female ?
Date of Birth:: mm/dd/yyyy
Languages Spoken:: EnglishSpanishPortugueseCreoleOther
Are you catholic?
Have you received all your sacraments?
If the above answer was "no" would you like to receive a sacrament? If so, please explain which one.
Family Address:: Street Address
Address Line 2: Apartment Number (Leave blank if not applicable
City, State Zip: (ex: Margate, FL 33071)
Primary Phone Number:: (ex: 999-999-9999)
Secondary Phone Number:: (ex: 999-999-9999)
e-Mail:
What is your occupation?
Do you have children age 21 and under?: Please select number of children
I/We will financially support the parish by online giving using WeShare ?: YesNo

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Parish Registration

St. Vincent Catholic Church Parish Registration

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