Parishioner Registration

st. leo parish registration form
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  Family Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address: REQUIRED Please fill out this field. Please enter valid data.
  
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  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Primary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Adults REQUIRED Please fill out this field.
  
  Adult 1
  
  First Name & Middle Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Adult 2
  
  First Name & Middle Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  Gender: REQUIRED Please fill out this field.
  
  Maiden Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status: REQUIRED Please fill out this field.
  
  Marital Status: REQUIRED Please fill out this field.
  
  Occupation: REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation: REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade/Degree: REQUIRED Please fill out this field.
  
  Student Grade/Degree: REQUIRED Please fill out this field.
  
  Language: (If other than English) REQUIRED Please fill out this field.
  
  Language: (If other than English) REQUIRED Please fill out this field.
  
  Religion: REQUIRED Please fill out this field.
  
  Religion: REQUIRED Please fill out this field.
  
  Baptism Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Marriage Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Marriage Date, Church Name, City/State: REQUIRED Please fill out this field. Please enter valid data.
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child 2
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child 3
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child 4
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child 5
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child 6
  
  Members First Name & Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Language: (If other than English) REQUIRED Please fill out this field.
  
  Student Grade/Degree: REQUIRED Please fill out this field.
  
  Religion: REQUIRED Please fill out this field.
  
  Baptism: Date, Church Name, City/State REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date, Church Name, City/State REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date, Church Name, City/State REQUIRED Please fill out this field. Please enter valid data.
  
  Marriage Date, Church Name, City/State REQUIRED Please fill out this field. Please enter valid data.
  
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St. Leo Church

Versailles, KY

Parishioner Registration

st. leo parish registration form