Our Lady of Fatima Church
Igreja de Nossa Senhora de Fátima

50 Walsh Avenue Peabody MA 01960-1910
Office (978) 532-0272 Hall (978) 532-0272 Fax (978) 977-2991
eMail: Our Lady of Fatima Church

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Our Lady of Fatima Parishioner Registration Form

Family Last Name:
Title:
Husband Last Name:First Name:Middle Initial: DOB:
Title:
Wife Last Name:First Name:Middle Initial: DOB:
Residence address:
Street Address:
City: State: Zipcode:
Phone Number:
eMail Address:
Mailing address (if different):
Street Address:
City: State: Zipcode:
Name(s) of the child(ren) under the age of 18 living with you.
Children who have received the Sacrament of Confirmation should be registered as parishioners.
Last Name:First Name:Middle Initial: DOB:
Last Name:First Name:Middle Initial: DOB:
Last Name:First Name:Middle Initial: DOB:
Last Name:First Name:Middle Initial: DOB:
Last Name:First Name:Middle Initial: DOB:
 

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Last modified 10/29/2006
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