Registration Form

You may use this form to perform a new registration or update an existing registration.
Privacy Statement:  All information contained on the parish registration form will be used for church purposes only.   No information will be given out without prior permission.  Please fill-out & hand to an usher or fold and place in the collection basket.

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ST. PAUL CHONG HASANG CATHOLIC CHURCH
PARISH REGISTRATION FORM

WELCOME!

TODAY'S DATE: __________________
FAMILY NAME ___________________________________________________
ADDRESS             ___________________________________________________
CITY                       ___________________________________________________
PHONE    __________________

Husband's Name     _______________________________ Military Rank  _______
Birthday ________    Religion ______________________
(Below...Please check the Sacraments you have received)
____Baptism     ____Eucharist     ____Confirmation

Wife's Name  _______________ (Maiden) ____________  Military Rank _______
Birthday ________    Religion ______________________
(Below...Please check the Sacraments you have received)
____Baptism     ____Eucharist     ____Confirmation

Marital Status ____ Single    ____ Married    ____ Separated    ____ Divorced
Married by:     ____ Catholic Church    ____ Civil    ____ Other Church

CHILDREN: (Only those living at the above address. Please mark the year your child received the following Sacraments. If your child has a different last name, please indicate.)   
1. _______________________ M/F Date of Birth __________    Grade ____
    ____ Baptism    ____ Eucharist    ____ Confirmation
2. _______________________ M/F Date of Birth __________    Grade ____
    ____ Baptism    ____ Eucharist    ____ Confirmation
3. _______________________ M/F Date of Birth __________    Grade ____
    ____ Baptism    ____ Eucharist    ____ Confirmation
4. _______________________ M/F Date of Birth __________    Grade ____
    ____ Baptism    ____ Eucharist    ____ Confirmation
5. _______________________ M/F Date of Birth __________    Grade ____
    ____ Baptism    ____ Eucharist    ____ Confirmation

We wish to begin using the Weekly Envelopes    ____ YES    ____ NO

PLEASE INDICATE HOW MAIL SHOULD BE ADDRESSED TO YOUR FAMILY:

Name ________________________________________________________

Address ______________________________________________________

WE WISH TO SHARE OUR TIME, TALENT AND TREASURE  [ Please check all that apply. ]

Page Updated:  26-Jul-10