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Our Lady of the Annunciation
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Parish Registration
Church of Our Lady of the Annunciation, Queensbury, NY 12804
Family Last Name:
Mailing Address (Enter as Street, City, State, Zip):
Physical Address (If different from Mailing Address):
Email Address:
Home Phone Number:
Cell Phone Number:
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Do you wish to receive The Evangelist, our weekly Diocesan newspaper?
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Head of Household Name:
Head of Household Maiden Name (if applicable):
Head of Household Gender:
Male
Female
Head of Household Marital Status:
Single
Married
Separated
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Head of Household Date of Birth (Enter as mm/dd/yyyy):
Head of Household Religion:
Head of Household Occupation:
Head of Household Employer:
Head of Household Business Phone Number:
Please list any ministries that you might like to become involved in:
Please list any special skills or talents you have:
Spouse's Name:
Spouse's Maiden Name (if applicable):
Spouse's Gender:
Female
Male
Spouse's Marital Status:
Single
Married
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Divorced
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Spouse's Date of Birth (Enter as mm/dd/yyyy):
Spouse's Religion:
Spouse's Occupation:
Spouse's Employer:
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Please list any ministries that you might like to become involved in:
Please list any special skills or talents you have:
Child's Name:
Child's Gender:
Female
Male
Child's Date of Birth (Enter as mm/dd/yyyy):
Child's School Grade (if applicable):
Child's Name:
Child's Gender:
Female
Male
Child's Date of Birth (Enter as mm/dd/yyyy):
Child's School Grade (if applicable):
Child's Name:
Child's Gender
Female
Male
Child's Date of Birth (Enter as mm/dd/yyyy):
Child's School Grade (if applicable):
Sacramental Information
Head of Household Sacraments Received:
Baptism
First Communion
Confirmation
Church Marriage
Spouse Sacraments Received:
Baptism
First Communion
Confirmation
Church Marriage
Child #1 Sacraments Received:
Baptism
First Communion
Confirmation
Child #2 Sacraments Received:
Baptism
First Communion
Confirmation
Child #3 Sacraments Received:
Baptism
First Communion
Confirmation
Additional Comments (Use this space to list additional children's names, any special needs one of your family members may have, etc.):
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