Parish Registration Form Legal Size

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Work Email

Work Phone

Work / School

Occupation / Student

Married by Catholic priest or deacon?

Marital Status

( Yes )

( Yes )

Confirmation

( Yes )

( Yes )

Baptism

(M)

1 Communion

st

Religion

Race

Birth Date (mm/dd/yy)

Sex

Family Role

Maiden Name

Last Name

Middle Name

First Name

Title

( No )

( No )

( No )

( No )

(F)

( Yes )

( Yes )

( Yes )

( Yes )

(M)

USE ONE COLUMN FOR EACH HOUSEHOLD MEMBER (PLEASE PRINT):

( No )

( No )

( No )

( No )

( No )

( No )

( No )

( No )

(F)

PLEASE COMPLETE REVERSE SIDE

( Yes )

( Yes )

( Yes )

( Yes )

(M)

( Yes )

( Yes )

( Yes )

( Yes )

(M)

Primary / Home Email Address

Mailing Address

(F)

Primary / Home Phone Number

Family Last Name

City / State / Zip Code + 4

______ New Registration

( No )

( No )

( No )

( No )

(F)

( Yes )

( Yes )

( Yes )

( Yes )

(M)

( No )

( No )

( No )

( No )

(F)

Received

Envelope #

Office use:

( Yes )

( Yes )

( Yes )

( Yes )

(M)

( No )

( No )

( No )

( No )

(F)

____________

____________

______ Updated / Corrected Registration

Mail completed form to: 9701 Old Georgetown Road, Bethesda, Maryland 20814-1795, or place in collection basket when you attend Mass.

St. Jane Frances de Chantal Parish Registration Form

Hospital Visitors Ladies of Charity Nursing Home Visitors Pro-Life St. Martin’s Cloak ADULT LEADERS FOR YOUTH ACTIVITIES Youth Ministry CYO Sports Coaching Boy Scouts (Grade 6 - High School) Girl Scouts (Grades 4 - 8) Cub Scouts (Grades 1 - 5) Brownies (Grades 1 - 3) ACTIVITIES FOR OUR YOUTH Youth Ministry (High School) CYO Sports Boy Scouts (Grade 6 - High School) Girl Scouts (Grades 4 - 8) Cub Scouts (Grades 1 - 5) Brownies (Grades 1 - 3) Altar Server (Age 10 - Adults)

Children’s Liturgy of the Word

Extraordinary Minister of Holy Communion

Lector

Usher/Minister of Hospitality

Adult Choir

Cantor

Contemporary Ensemble

Accompanist/Instrumentalist

EDUCATION

School Volunteer

Religious Education Teacher

High School Religious Ed/Youth Ministry Teacher

Faith of Our Toddlers Teacher (FOOT)

RCIA Instructor

Special Religious Education Teacher (SPRED)

Scripture Sharing

PARISH LIFE

Evangelization Forum

Garden Club

Knights of Columbus

Other interests and activities:

Sodality

Parish Office

First Name

Primary / Home Email Address

Primary / Home Phone Number

Family Last Name

The information on this page will be copied and forwarded to organization leaders. Please complete information requested below:

Bereavement Committee

Altar Server

Post Cana

SOCIAL CONCERNS

LITURGY

First Name

Please express your commitment to support St. Jane Frances de Chantal Parish with the following commitments of your time & talent: