St. Oliver Plunkett Catholic Church
3200 Brooks Drive
Snellville, GA 30078
Parish Office (770) 979-2500 or (866) 913-2512
Fax (770) 985-6590

Parish Registration

Registration Type      New   Change   Delete

Date:
Former Parish:
City/State:

Family Last Name:
Home Address:
City: State: Zip Code:
Home Phone: Unlisted? Marital Status:     Married in Church?
Do you or a family member have any special needs?

 

Mr. (First Name)  
Date of Birth: Religion:
Work Telephone: Email:
Profession:  
Catholic Sacraments Received:    Baptism    Eucharist    Confirmation
Yes, I am willing to volunteer my professional services to the church community

 

(First Name) Maiden Name:
Date of Birth: Religion:
Work Telephone: Email:
Profession:  
Catholic Sacraments Received:    Baptism    Eucharist    Confirmation
Yes, I am willing to volunteer my professional services to the church community

 

Children
(Include last name if different)		 Date of Birth Religion Baptized 1st Communion Confirmed Grade

 

Others living in household Relationship Date of Birth Religion Baptized 1st Communion Confirmed Marital Status

 

For Office Use Only Date Rec'd: __________    Entered: __________    Envelope #: __________

   

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Last Updated - Tuesday December 01, 2009 03:06:09 PM -0500