St. Anthony Parish

Family Registration

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First Name Last Name

Address
Address Line 2
City State Zip Code
Phone Number
Phone Number
Email Address




Individual Member Information



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Active
Inactive


Email Address
Phone Number
Phone Number

Sacramental Info

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Baptized
Catholic

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Single
Married
Separated
Divorced
Annulled
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Yes
No



Individual Member #2 (please use next page for children)


First Name Last Name

Select one
Active
Inactive


Phone Number
Phone Number

Sacramental Info

Select all that apply
Baptized
Catholic

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