PARISH REGISTRATION FORM

Welcome and thank you for wanting to join our parish family

Registration Process:

Fill out the registration form completely
After completing the form please click the SUBMIT button
You will be contacted if any additional information is needed
You will be sent a Welcome packet when your registration is complete

If you have any questions please feel free to contact Anita Lopez, at receptionist@cbfa.org or 505.982.5619.

Family Registration

Your Name

Title

First Name*

Middle Name

Last Name*

Your Date of Birth

Required* //

Are you Catholic ?
Required*

Yes

Mailing Address

Street 1*

Street 2

City*

State*

Zip*

Best phone number to reach you

Required* -- ext

E-mail

Spouse's Name

Title

First Name

Middle Name

Last Name

Spouse's Date of Birth

Is Your Spouse Catholic?

Yes

Sacrament Information

Your Baptism Date		If you do not know the exact date please insert the year you were baptized
Your 1st Eucharist Date
Your Confirmation Date
Spouse's Baptism Date
Spouse's 1st Eucharist Date
Spouse's Confirmation Date

Family Information

Maritial Status
Required*

	Widow
	Widower
	Single
	Church Married

	Civil Marriage
	Co-Habitants
	Separated
	Divorced

Date of Marriage

Place of marriage (church and city)

Previous Parish

Street 1

Street 2

City

State

Zip

Your occupation/employer

Spouse's occupation/employer

Dependant Children Information

If you need additional space please insert additional info in the Comments section at the bottom of this form.

# 1 Name

First Name

Middle Name

Last Name

Gender

	Male
	Female

Date of Birth

Date of Baptism

Date of 1st Eucharist

Date of Confirmation

# 2 Name

First Name

Middle Name

Last Name

Gender

Male

Female

Date of Birth

Date of Baptism

Date of 1st Eucharist

Date of Confirmation

Comments

Your Comments

PARISH REGISTRATION FORM

Welcome and thank you for wanting to join our parish family

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