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Head of Household

Date REQUIRED Please fill out this field. Please enter a date.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address or PO Box REQUIRED Please fill out this field. Please enter valid data.

Apt. # REQUIRED Please fill out this field. 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.

Cell Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Would you like to receive periodic updates via Flocknotes? REQUIRED Yes No Please fill out this field.

Please select preferred tithing option: REQUIRED Please fill out this field.

Religion REQUIRED Please fill out this field. Please enter valid data.

Marital Status REQUIRED Please fill out this field.

If married, what was the date of your marriage? Please enter valid data.

If married, were you married in a Catholic Church by a priest and before 2 witnesses? Yes No

Occupation REQUIRED Please fill out this field.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth: REQUIRED Please fill out this field. Please enter valid data.

Which Sacramens have you received? (Check all that apply) REQUIRED Baptism First Communion First Reconciliation Confirmation Please fill out this field.

Number and names of Additional Family Members REQUIRED Please fill out this field.

Spouse's Information (if Married)

First Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Religion Please enter valid data.

Occupation

Sacraments received: Baptism First Communion First Reconciliation Confirmation

Church of Baptism Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Children in the Home

Please indicate the name, date of birth, school attending, and grade of each child.

For each child, list the sacraments they have received (baptism, first communion, first reconciliation, and/or confirmation

Please indicate the Church, City, and State where each child was baptized

Note: All adult volunteers are required to complete a Criminal Background Check and "Call to Protect" training. Those working with children or youth have to complete an additional training yearly.

Our Lady of Sorrows Catholic Church

Portland, OR

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