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.
  • Family Name REQUIRED Please fill out this field. Please enter valid data.
  • Street Address REQUIRED Please fill out this field. Please enter valid data.
  • Mailing Address (if different) Please enter valid data.
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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  • Home Phone Number Please enter a phone number.
  • ==== HUSBAND/MALE Information ==== Please enter valid data.
  • Husband/Male Name Please enter valid data.
  • Husband/Male Cell Number Please enter a phone number.
  • Husband/Male Email Please enter an email address.
  • Husband/Male Occupation Please enter valid data.
  • Husband/Male Employer Please enter valid data.
  • 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 Please enter a phone number.
  • Wife/Female Email Please enter an email address.
  • Wife/Female Occupation Please enter valid data.
  • 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.
    • 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.
    • 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.
    • 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.

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