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- St. Anne Parish Family Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family 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.
  
  Mailing Name (i.e. Mr. & Mrs. John Doe) Please enter valid data.
  
  Address 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Family Email REQUIRED Please fill out this field. Please enter an email address.
  
  Envelope# Please enter valid data.
  
  Adult Members REQUIRED Please fill out this field.
  
  Adult 1
  
  Parish Status Active Inactive
  
  Role: (Head of House, Husband, Wife, etc.) Please enter valid data.
  
  First Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  First Language Please enter valid data.
  
  Occupation & Employer Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptized Reconciliation First Eucharist Confirmed
  
  Marital Status
  
  Valid Catholic Marriage? Yes No
  
  Adult 2
  
  Parish Status Active Inactive
  
  Role: (Head of House, Husband, Wife, etc.) Please enter valid data.
  
  First Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  First Language Please enter valid data.
  
  Occupation & Employer Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptized Reconciliation First Eucharist Confirmed
  
  Marital Status
  
  Valid Catholic Marriage? Yes No
  
  Adult 3
  
  Parish Status Active Inactive
  
  Role: (Head of House, Husband, Wife, etc.) Please enter valid data.
  
  First Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  First Language Please enter valid data.
  
  Occupation & Employer Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptized Reconciliation First Eucharist Confirmed
  
  Marital Status
  
  Valid Catholic Marriage? Yes No
  
  Adult 4
  
  Parish Status Active Inactive
  
  Role: (Head of House, Husband, Wife, etc.) Please enter valid data.
  
  First Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  First Language Please enter valid data.
  
  Occupation & Employer Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptized Reconciliation First Eucharist Confirmed
  
  Marital Status
  
  Valid Catholic Marriage? Yes No
  
  Are there any members of your household who would like to be visited by a priest? Yes No
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Child 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Place of Birth Please enter valid data.
  
  High School Graduation Year Please enter valid data.
  
  School Please enter valid data.
  
  First Language Please enter valid data.
  
  Catholic? Yes No
  
  Sacraments Received Baptism Eucharist Reconciliation Confirmation
  
  Submit
  
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- You can choose to complete the attached form (PDF) and submit it to the parish office.
  Become a Member PDF

St. Anne Catholic Church

Somerset, WI

Become a Member

St. Anne Parish Family Registration Form