St. Joseph's Catholic Church

• ST JOSEPH CHARLTON - PARISH REGISTRATION

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  • Todays Date REQUIRED Please fill out this field. Please enter a date.
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  • Mailing Address (if different) Please enter valid data.
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  • ==== HUSBAND/MALE Information ==== Please enter valid data.
  • Husband/Male Name Please enter valid data.
  • Husband/Male Cell Number Maximum 20 characters Please enter a phone number.
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  • Husband/Male Occupation Please enter valid data.
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  • Husband/Male Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • Husband/Male Baptized? REQUIRED Yes No Please fill out this field.
  • Husband/Male Year Baptized Please enter valid data.
  • Husband/Male Church Baptized (church name, town, state) Please enter valid data.
  • Husband/Male 1st Communion? REQUIRED Yes No Please fill out this field.
  • Husband/Male Year 1st Communion Please enter valid data.
  • Husband/Male Church 1st Communion (church name, town, state) Please enter valid data.
  • Husband/Male Confirmation? REQUIRED Yes No Please fill out this field.
  • Husband/Male Year of Confirmation Please enter valid data.
  • Husband/Male Church Confirmation (church name, town, state) Please enter valid data.
  • ==== WIFE/FEMALE Information ==== Please enter valid data.
  • Wife/Female Name Please enter valid data.
  • Wife/Female Maiden Name Please enter valid data.
  • Wife/Female Cell Number Maximum 20 characters Please enter a phone number.
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  • Wife/Female Employer Please enter valid data.
  • Wife/Female Date of Birth REQUIRED Please fill out this field. Please enter a date.
  • Wife/Female Baptized REQUIRED Yes No Please fill out this field.
  • Wife/Female Year Baptized Please enter valid data.
  • Wife/Female Church Baptized (church name, town, state) Please enter valid data.
  • Wife/Female 1st Communion? REQUIRED Yes No Please fill out this field.
  • Wife/Female Year 1st Communion Please enter valid data.
  • Wife/Female Church 1st Communion (church name, town, state) Please enter valid data.
  • Wife/Female Confirmation? REQUIRED Yes No Please fill out this field.
  • Wife/Female Year Confirmation Please enter valid data.
  • Wife/Female Church where Confirmed (church name, town, state) Please enter valid data.
  • • How many children are you registering? REQUIRED Please fill out this field.
    • Child 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Baptized? Yes No
      • Year of Baptism Please enter valid data.
      • Church of Baptism (Church name, town, state) Please enter valid data.
      • First Communion? Yes No
      • Year of First Communion Please enter valid data.
      • Church of First Communion (Church name, town, state) Please enter valid data.
      • Confirmation? Yes No
      • Year of Confirmation Please enter valid data.
      • Church of Confirmation (Church name, town, state) Please enter valid data.
      • Would you like to receive our weekly email? REQUIRED Yes No Please fill out this field.
    • Child 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Baptized? Yes No
      • Year of Baptism Please enter valid data.
      • Church of Baptism (Church name, town, state) Please enter valid data.
      • First Communion? Yes No
      • Year of First Communion Please enter valid data.
      • Church of First Communion (Church name, town, state) Please enter valid data.
      • Confirmation? Yes No
      • Year of Confirmation Please enter valid data.
      • Church of Confirmation (Church name, town, state) Please enter valid data.
      • Would you like to receive our weekly email? REQUIRED Yes No Please fill out this field.
    • Child 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Baptized? Yes No
      • Year of Baptism Please enter valid data.
      • Church of Baptism (Church name, town, state) Please enter valid data.
      • First Communion? Yes No
      • Year of First Communion Please enter valid data.
      • Church of First Communion (Church name, town, state) Please enter valid data.
      • Confirmation? Yes No
      • Year of Confirmation Please enter valid data.
      • Church of Confirmation (Church name, town, state) Please enter valid data.
      • Would you like to receive our weekly email? REQUIRED Yes No Please fill out this field.
    • Child 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth REQUIRED Please fill out this field. Please enter a date.
      • Baptized? Yes No
      • Year of Baptism Please enter valid data.
      • Church of Baptism (Church name, town, state) Please enter valid data.
      • First Communion? Yes No
      • Year of First Communion Please enter valid data.
      • Church of First Communion (Church name, town, state) Please enter valid data.
      • Confirmation? Yes No
      • Year of Confirmation Please enter valid data.
      • Church of Confirmation (Church name, town, state) Please enter valid data.
      • Would you like to receive our weekly email? REQUIRED Yes No Please fill out this field.

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