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- Family Information
  
  Family Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Address
  
  Address Line REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Seasonal Address (if applicable)
  
  Address Line Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Dates when seasonal address is in effect Please enter valid data.
  
  Would you like information on Electronic Giving? REQUIRED Yes No Please fill out this field.
- Head of Household Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Relationship REQUIRED Please fill out this field.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Is this a: Cellphone Home Other
  
  Religious Practices
  
  Religion Practiced: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist REQUIRED Yes No Please fill out this field.
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Marriage REQUIRED Yes No Please fill out this field.
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
- Spouse Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Relationship
  
  Occupation Please enter valid data.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Is this a: Cellphone Home Other
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Marriage Yes No
  
  Church Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
- Number of Children Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
  
  Child 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth Please enter a date.
  
  Religious Practices
  
  Religion Practiced: Please enter valid data.
  
  Baptism Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  First Eucharist Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  Confirmation Yes No
  
  Church Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Date of Sacrament Please enter a date.
  
  School Information
  
  School Name Please enter valid data.
  
  Grade Level Please enter valid data.
  
  School Type Catholic School of Kalamazoo Diocese Public School Home School Not yet in school
  
  Is your child attending our Religious Education Program Yes No
Submit

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St. Joseph Catholic Church

Kalamazoo, MI

Parishioner Registration Form

Primary Address

Seasonal Address (if applicable)

Religious Practices

Religious Practices

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information

Religious Practices

School Information