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Santa Sophia Registration Form - Please Print Clearly

Office Use Only

Household Name:
ID:

Street Address:
City, Zip:

Date

OSV

Religion

Confirmation Date
or Y / N

Birthdate
(mm/dd/yy)

W=Caucasian
H=Hispanic
Am=Am Indian
Af=African-Am
F=Filipino
V=Vietnamese
P=Pan Asian
O=Other

First Eucharist Date


or Y / N

Marital Status:
S=never
married
M=married
W=widowed
D=divorced

Sacramental History

Baptism Date or
Y/N

List Head of family


first. Then note the
relationship of each
person to the head
of the family.

CC

Personal Details
SS Academy student
or alumni? Y or N

Name of each person who lives at this


address. Write first name, last name, and
middle initial for each person.
Please
print clearly.

Relation
Sex M or F

Name

Head

Maiden name:

PHONE OWNER

Date of present marriage: Church or civil marriage?

H=Home
C=Cell

Email - Name of mail recipient

If you are related to other families registered at Santa Sophia, please list here:

Marriage location, Church, City & State:

Phone Number

Email Address

All parishioners receive donor envelopes for their convenience.


Electronic giving is available at www.santasophia.org/donate

Rev. 12/2014

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