Forms – Parish Registration – St. John the Evangelist

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Today's Date

Phone Number(Required)

Marital Status:

Date of Marriage:

What months are you in Florida?

Date of Birth(Required)

Religion(Required)

Email(Required)

Spouse (if applicable)

Spouses Date of Birth

Spouses Religion

Spouces Email

Spouses Phone (if different from above)

Dependent 1 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 2 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 3 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 4 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 5 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 6 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Dependent 7 (only those living in your household full time under the age of 18)

Child's First Name

Child's Date of Birth

Place of Baptism

Date of Baptism

Current Grade

Current School

Name

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