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St. Joseph – St. Lawrence Parish Registration Form Continued
PLEASE COMPLETE INFORMATION BELOW FOR EACH MEMBER OF HOUSEHOLD, OLDEST TO YOUNGEST.
PLEASE PRINT
Married
1st
Student (K-12)
Full Name for each person Relationship Sex DOB Catholic Marital by a Priest Baptism Communion Confirmation Catholic CCD
Current (i.e. John L. Smith) (i.e. wife/son) M/F (mm/dd/yyyy) Y/N Status Y/N Y/N Y/N
Y/N School Y/N Y/N Grade
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**MARITAL STATUS: M - MARRIED, S - SINGLE, D - DIVORCED, SEP - SEPARATED, W - WIDOW/WIDOWER
SIGNATURE_____________________________________ DATE ________________
After completion, either email to: SJSLParish@gmail.com or send to the parish mailing address: P.O. Box 129, Easton, KS 66020