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HOLY TRINITY ROMAN CATHOLIC CHURCH REGISTRATION FORM     DATE: __________

Family Last Name _____________________________                            Second Address _______________________________
Street Address        ____________________________                             Dates - from (month-month)__________ - __________
PO Box                    ____________________________                            Street Address ________________________________
City, State, Zip        ___________________________                              PO Box ______________________________________
Telephone               ____________________________                             City, State, Zip________________________________

E-Mail Address       _________________________________                  Telephone ____________________________________

Are you or a family member homebound ?                   Yes                       No

Marital Status                           Single                        Married                 Divorced                        Separated                 Widowed

Were you married by a (circle one)           Catholic Priest            Minister         Justice of the Peace  Other__________________

Languages Spoken ___________________________________________________________________________________

 Family Member Info
(Full Names)

Religion

Birth Date

  Baptism

Communion

Confirmation

Marriage Date

Occupation
or
School

Committees or Ministries you are interested in joining

Work and/or
Cell #

Husband or Head of Household

 

 

Yes  No

 Yes    No

  Yes    No

 

 

 

 

Spouse- Indicate Maiden Name

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

Children Living at Home (M/F)

1)

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

 

2)

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

 

3)

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

 

4)

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

 

5)

 

 

Yes  No

 Yes    No

  Yes     No

 

 

 

 

Mail this form to: Holy Trinity R.C. Church; 408 Prospect Street; Long Branch, NJ  07740, or you may put it in the collection basket at Mass. Religious Education is offered for students grades 1-8. Contact Sr. Gerrie Contento,MPF or Mrs. Noreen Pastor at 732-222-8878 for registration information