ONLINE REGISTRATION FORM

Family Name (Last Name) *
Household Title
Date of Marriage (mm/dd/yyyy)
Married in Catholic Church ? Yes
No
Address *
City *
Zip *
Primary Phone (000-000-0000)
Unlisted? No
Yes
E-mail Address: *
Please do NOT publish e-mail address No
Yes
I would like correspondence sent via e-mail Yes
No
Interested in Holy Spirit Catholic School? Yes
No

***ADULTS***         

 
First Name (Adult 1) *
Gender * Male
Female
Maiden Name
Date of Birth (mm/dd/yyyy)
Religion
Baptized? Yes
No
Confirmed? Yes
No
Employer - Occupation
Work Phone (000-000-0000)
First Name (Adult 2)
Gender Male
Female
Maiden Name
Date of Birth (mm/dd/yyyy)
Religion
Baptized? Yes
No
Confirmed? Yes
No
Employer - Occupation
Work Phone (000-000-0000)
***CHILDREN LIVING AT HOME***            
First Name (Child 1)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Baptized? Yes
No
Where Baptized?
First Communion? Yes
No
Where First Communion?
Confirmed? Yes
No
Where Confirmed?
Grade Level
First Name (Child 2)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Grade Level
Baptized? Yes
No
Where Baptized?
First Communion? Yes
No
Where First Communion?
Confirmed? Yes
No
Where Confirmed?
First Name (Child 3)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Grade Level
Baptized? Yes
No
Where Baptized?
First Communion? Yes
No
Where First Communion?
Confirmed? Yes
No
Where Confirmed?
First Name (Child 3)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Grade Level
Baptized? Yes
No
Where Baptized?
First Communion? Yes
No
Where First Communion?
Confirmed? Yes
No
Where Confirmed?
First Name (Child 4)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Grade Level
Baptized? Yes
No
Where Baptized?
First Communion? Yes
No
Where First Communion?
Confirmed? Yes
No
Where Confirmed?
First Name (Child 5)
Gender Male
Female
Date of Birth (mm/dd/yyyy)
Grade Level
Baptized? Yes
No
Where Baptized?
Confirmed? Yes
No
Where Confirmed?
Questions?
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