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- Newcomers

Thanks for taking a moment to register your household's information with our parish office. Please fill out the form as completely as possible and then click submit. We are excited to have you join us!
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Address 2 Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Alternative Email Please enter an email address.
- Would you like to recieve offering envelopes? Yes No
- Do you have children at Christ the King School? Yes No
- Other Preferred Means of Cummincation? Please list here.
- Individual Member Information (usually 1 or 2) REQUIRED Please fill out this field.
  
  Member 1
  
  Role (head of household, Husband, Wife, etc.) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Female Male
  
  Maiden Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Email Please enter an email address.
  
  Baptism Date & Location
  
  Reconciliation Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  Location of Marriage Please enter valid data.
  
  Member 2
  
  Role (head of household, Husband, Wife, etc.) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Female Male
  
  Maiden Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Email Please enter an email address.
  
  Baptism Date & Location
  
  Reconciliation Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  Location of Marriage Please enter valid data.
  
  Member 3
  
  Role (head of household, Husband, Wife, etc.) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Female Male
  
  Maiden Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Email Please enter an email address.
  
  Baptism Date & Location
  
  Reconciliation Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  Location of Marriage Please enter valid data.
  
  Member 4
  
  Role (head of household, Husband, Wife, etc.) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Female Male
  
  Maiden Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Email Please enter an email address.
  
  Baptism Date & Location
  
  Reconciliation Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field. Please enter valid data.
  
  Valid Catholic Marriage Yes No
  
  Location of Marriage Please enter valid data.
- Dependent/Children Information REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate Please enter valid data.
  
  Baptism Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Reconciliation Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate Please enter valid data.
  
  Baptism Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Reconciliation Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate Please enter valid data.
  
  Baptism Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Reconciliation Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate Please enter valid data.
  
  Baptism Date & Location Please enter valid data.
  
  Eucharist Date & Location Please enter valid data.
  
  Reconciliation Date & Location Please enter valid data.
  
  Confirmation Date & Location Please enter valid data.
- Additional Message
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Christ the King - St. Anthony

Burlington, VT

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