Family Name: ________________________________________________
Father’s Name:
_______________________________________________
Mother’s Name:
______________________________________________
Address:
____________________________________________________
_______________________________ Postal Code: __________
Telephone Number: (_______)____________________
Names of Children: Birth date: Place of Birth:
1 ______________________ ______________
_______________________
2 ______________________ ______________
_______________________
3 ______________________ ______________
_______________________
4 ______________________ ______________
_______________________
5 ______________________ ______________
_______________________
When form is completed, please return to the Priest in
the sacristy or drop off at the rectory.
Please introduce yourselves after Mass and , hopefully, we will come
by for a home/pastoral visit in the
near future. Welcome to the Parish.