Ascension Parish Registration


Family Last Name
Address Apt.
City State
Zip
Phone (home)
Email


Member #1 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Member #2 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Member #3 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Member #4 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Member #5 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Member #6 Information Mr.Mrs.Ms.MissChild
First Name Last Name
Date of Birth
Religion
Baptism YesNo
1st Communion YesNo
Confirmation YesNo
Occupation
Work Phone
Cell Phone
Email


Marital Status
Maiden Name
Married YesNo
By a Priest YesNo
Divorced YesNo
Single YesNo
Widow/Widower YesNo
Are you a winter resident? YesNo
Yearly? YesNo

In case of emergency contact:
Name
Phone
Relationship