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New Parishioner Registration Form

Parish Registration

Name
Address
MM slash DD slash YYYY

Male

Name
MM slash DD slash YYYY
Volunteer Interest?

Female

Name
MM slash DD slash YYYY
Volunteer Interest?

Sacraments

Please include YOURSELF and IMMEDIATE FAMILY ONLY, including MINOR children 17 and under.

Family Member 1


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation

Family Member 2


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation

Family Member 3


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation

Family Member 4


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation
Add Another Family Member?

Family Member 5


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation
Add Another Family Member?

Family Member 6


Name
M/F
MM slash DD slash YYYY
Baptism
Communion
Confirmation

More Information

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Address
St. Faustina
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15551 North Boggy Marsh Road, Clermont, Florida 34714 Phone: (352) 515-9297 Fax: (352) 559-3920 office@stfaustina.org
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