Church Registration

Part 1. Family Information
Family Name
Husband's Name
Date of Birth
 
Wife's Name
Date of Birth
 
Wife's Maiden Name
Anniversary Date
 
       
Part 2. Contact Information
Primary Address
Address   
City
State
 
Home Phone
Zip
 
Cell Phone    
Email
    
Alternate Address
Address
City
State
 
Home Phone
Zip
 
       
Part 3. Children Information    
Children's Names:
Date of Birth
 
 
Date of Birth
 
 
Date of Birth
 
 
Date of Birth
 
 
Date of Birth
 
 
Date of Birth
 
       
Children Living Away From Home:    
Child's Name
Date of Birth
 
Spouse's Name
Date of Birth
 
Address
City
State
 
Home Phone
Zip
 
       
Child's Name
Date of Birth
 
Spouse's Name
Date of Birth
 
Address
City
State
 
Home Phone
Zip
 
       

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The Maronite Catholic Community of Saint Sharbel
Warren, Michigan


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