Registration

Saint Joseph Church
Lincoln, NH

Rev John B. MacKenzie
Pastor

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Residential Address

Husband Work

Wife Work

Mailing Address

Adult 1

Widowed

Married

Divorced

Separated

Single

Date Married

Maiden Name

Adult 1

Child 1

Birth Date

Religion

Occupation

Male

Female

Baptism

Eucharist

Penance

Confirmation

Birth Date

School

Grade

Mobile

Home

HOUSEHOLD MEMBERS:

Sacraments:

Adult 2

Birth Date

Religion

Occupation

Male

Female

Baptism

Eucharist

Penance

Confirmation

Sacraments:

Religion

Occupation

Male

Female

Female

Female

Male

Religion

Sacraments:

Baptism

Eucharist

Penance

Confirmation

Child 3

Birth Date

Religion

Baptism

Sacraments:

Eucharist

Penance

Confirmation

Grade

School

Male

Female

Child 2

Birth Date

School

Grade

Female

Male

Religion

Sacraments:

Baptism

Eucharist

Penance

Confirmation

Child 4

Birth Date

Religion

Baptism

Sacraments:

Eucharist

Penance

Confirmation

Grade

School

Male

Female

Yes

No

If No, explain:

Married in Catholic Church:

MINISTRY EXPERIENCE:

PARISH REGISTRATION FORM

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