Holy Cross Family Registration Form

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Click Submit Form to send this information to Holy Cross.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity *Birth Date
*Gender Female   Male Grade/Degree
  Language *Marital Status
  Phone 1 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism: Date Place
  1st Comm: Date Place
  Confirm: Date Place

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism: Received Date Place
  1st Comm: Received Date Place
  Confirm: Received Date Place

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks

  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
Sacraments
   Baptism: Date Place
   1st Comm: Date Place
   Confirm: Date Place


Click Submit Form to send this information to Holy Cross.
Holy Cross