St. Ann of the Dunes Parish

Parish Registration Form- 2014-15

Please fill out the Census/Registration information form. It is very important that we have current information for all of our parish families. Many times when people move, get married, graduate from college, or simply ask for records, we lack the proper information. In order for us to provide you with accurate service in times of need your cooperation is necessary.

Last Name__________________________________________________ Mr. & Mrs., Mr., Mrs., Ms., Miss, Dr., Other_______
(Circle One)
Husband_________________________________________________Wife____________________________________________
(Maiden and First Name)
Permanent Address (1)______________________________________________City____________________ State__________

Zip Code______________ Phone Number_________________________ Email:_______________________________________

Summer Address (2)________________________________________________ City_______________________State________

Zip Code_____________________ Phone Number__________________________ Email Address_________________________

PLEASE FILL OUT IN AS MUCH DETAIL AS POSSIBLE!

Husband:
Marital Status
Catholic Church Marriage Annulment
Civil Marriage Only Remarried
Separated Widowed Divorced Single
Ethnicity/Race_____________________________
Education_________________________________
High School: Yes No
College: Yes No
Degree___________________________________
Occupation________________________________
Place of Employment________________________
Bus. Phone Number_________________________
Date of Birth_______________________________

Religion___________________________________
Baptized: Yes No
1st Communion: Yes No
Confirmation: Yes No
Marriage: Yes No
Date______________________
Church____________________
City & State________________

Would you be willing to share you talents or abilities with the
St. Ann's Community? Yes No
In what capacity?___________________________________

Wife:
Marital Status
Catholic Church Marriage Annulment
Civil Marriage Only Remarried
Separated Widowed Divorced Single
Ethnicity/Race_____________________________
Education_________________________________
High School: Yes No
College: Yes No
Degree___________________________________
Occupation________________________________
Place of Employment________________________
Bus. Phone Number_________________________
Date of Birth_______________________________

Religion___________________________________
Baptized: Yes No
1st Communion: Yes No
Confirmation: Yes No
Marriage: Yes No
Date______________________
Church____________________
City & State________________

Would you be willing to share you talents or abilities with the
St. Ann's Community? Yes No
In what capacity?___________________________________

IMPORTANT:

Young Adults who have finished high school and are living at home and not attending college need to register ner their own name. Young adults who have finished high school and are attending college may remain under their parent's registration until college is completed.

1st CHILD
Name_____________________________________________
School____________________________________________
Date of Birth_______________________________________
Baptized: Yes No Date_____________________
Church___________________________________________
City & State________________________________________
1st Communion: Yes No Date_____________________
Church___________________________________________
City & State________________________________________
Confirmation: Yes No Date_____________________
Church____________________________________________ City & State_______________________________________

2nd CHILD
Name_____________________________________________
School____________________________________________
Date of Birth_______________________________________
Baptized: Yes No Date_____________________
Church___________________________________________
City & State________________________________________
1st Communion: Yes No Date_____________________
Church___________________________________________
City & State________________________________________
Confirmation: Yes No Date_____________________
Church_____________________________________________ City & State_______________________________________

3rd CHILD
Name_____________________________________________
School____________________________________________
Date of Birth_______________________________________
Baptized: Yes No Date_____________________
Church___________________________________________
City & State______________________________________
1st Communion: Yes No Date_____________________
Church____________________________________________
City & State________________________________________
Confirmation: Yes No Date_____________________
Church______________________________________________ City & State_______________________________________

4th CHILD
Name_____________________________________________
School____________________________________________
Date of Birth_______________________________________
Baptized: Yes No Date_____________________
Church___________________________________________
City & State______________________________________
1st Communion: Yes No Date_____________________
Church_______________________________________________
City & State________________________________________
Confirmation: Yes No Date_____________________
Church_______________________________________________ City & State_______________________________________