Family / New Member Registration

Welcome. Thank you for taking the time to complete this form. It will allow us to serve you and your family better. Before we get started we need to know some general information about your family.

Have you previously registered at Nativity Catholic Church or with another Catholic parish in the Diocese of St. Petersburg?
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Will you be a
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Family Information
How would you like us to address the mail we send to you?
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(i.e. Mr. & Mrs. John Doe)
Family Address
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Family Home Phone --
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Email
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Can we include your information in our church directory?
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Can we send email newsletters?
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Would you prefer us to send information so you can give/tithe
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(select all that apply)
Family Member #1
Name
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Nick / Maiden Name
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Role
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Date of Birth //
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Gender
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Occupation
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Highest Education
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Primary Language
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Work Phone --
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Cell Phone --
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Religion
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Sacraments Completed
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Marital Status
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Marriage Date //
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Family Member #2
Name
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Nick / Maiden Name
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Role
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Date of Birth //
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Gender
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Occupation
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Highest Education
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Primary Language
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Work Phone --
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Cell Phone --
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Religion
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Sacraments Completed
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Marital Status
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Marriage Date //
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Family Member #3
(Dependent Child or Other Member)
Name
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Nick Name
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Relationship to #1
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(i.e. Son, Daughter)
Date of Birth //
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Gender
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Sacraments Completed
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Grade
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School
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Primary Language
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Family Member #4
(Dependent Child or Other Member)
Name
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Nick Name
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Relationship to #1
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(i.e. Son, Daughter)
Date of Birth //
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Gender
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Sacraments Completed
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Grade
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School
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Primary Language
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Family Member #5
(Dependent Child or Other Member)
Name
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Nick Name
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Relationship to #1
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(i.e. Son, Daughter)
Date of Birth //
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Gender
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Sacraments Completed
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Grade
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School
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Primary Language
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Family Member #6
(Dependent Child or Other Member)
Name
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Nick Name
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Relationship to #1
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(i.e. Son, Daughter)
Date of Birth //
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Gender
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Sacraments Completed
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Grade
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School
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Primary Language
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Family Member #7
(Dependent Child or Other Member)
Name
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Nick Name
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Relationship to #1
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(i.e. Son, Daughter)
Date of Birth //
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Gender
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Sacraments Completed
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Grade
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School
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Primary Language
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Is there anything else you would like us to know about your family?
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Are there any activities, ministries, or services you'd like more information about?
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Thank you for sharing your information with us. We look forward to having you as part of our community. God Bless You.
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