St. Oliver Plunkett Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Family Information
Today's Date //
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Registration Type
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Former Parish Name, City, & State
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Family Last Name
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Home Address
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Home Phone --
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E-mail
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Marital Status
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Married in the Church?
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Head of Household
Name
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Gender
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Date of Birth //
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Religion
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Work Phone -- ext
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Cell Phone --
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Email Address
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Profession
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Catholic Sacraments Received
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I am willing to volunteer my professional services to the Church community.
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Spouse
Name of Spouse
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Maiden Name
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Gender
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Religion
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Date of Birth //
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Religion
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Work Phone -- ext
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Cell Phone --
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E-mail Address
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Profession
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Catholic Sacraments Received
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I am willing to volunteer my professional services to the Church community.
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First Child
Name of "First Child"
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Birthdate of "First Child" //
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Religion of "First Child"
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Has "First Child" received the following Sacraments?
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check only the ones that apply
Grade of "First Child"
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Second Child
Name of "Second Child"
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Birthdate of "Second Child" //
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Religion of "Second Child"
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Has "Second Child" received the following Sacraments?
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Grade of "Second Child"
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Third Child
Name of "Third Child"
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Birthdate of "Third Child" //
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Religion of "Third Child"
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Has "Third Child" received the following Sacraments?
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Grade of "Third Child"
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Fourth Child
Name of "Fourth Child"
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Birthdate of "Fourth Child" //
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Religion of "Fourth Child"
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Has "Fourth Child" received the following Sacraments?
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Grade of "Fourth Child"
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Others Living in Household
Please list the following information for any other adults living in your household or additional children.
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Relationship, Date of Birth, Religion, Sacraments Received
OFFICE USE ONLY
Date Received //
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Envelope #
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