Registration Form – Our Lady Star of the Sea – Our Lady Star of the Sea Catholic Church

General Information

Family Last Name:

Address Line #1:

Address Line #2:

City:

State:

Zip:

Home Phone #:

Cell Phone #:

Email:

Will you use Offertory envelopes:YesNo

Registrant

First Name:

Middle Name:

Last Name (if different)

Title:

Birthdate:

Occupation:

Business Phone:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Marriage Date:

Spouse

First Name:

Middle Name:

Last Name (if different)

Title:

Birthdate:

Occupation:

Business Phone:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Marriage Date:

Add a child

Child 1

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 2

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 3

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 4

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 5

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 6

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 7

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 8

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Add a child

Child 9

First Name:

Middle Name:

Last Name (if different)

Title:

Birth Date:

Check all that apply:Baptized Catholic1st Communion1st PenanceConfirmed

Weekly Email