Nativity of Our Lord

Enrollment

 

Place of Marriage

Date:

Salutation

Address

City State

Zip Code

Phone

Registration Date

 

Name:

Husband

Religion Birth.

Church of Bapt. 1st. Com. Conf.

Education *

Occupation

 

Wife Maiden

Religion Birth.

Church of Bapt. 1st. Com. Conf.

Education *

Occupation

 

Children: Living at Home

Child 1:

Name Birth

Church of Bapt.

School 1st. Com. Conf. CCD

Child 2:

Name Birth

Church of Bapt.

School 1st. Com. Conf. CCD

Child 3:

Name Birth

Church of Bapt.

School 1st. Com. Conf. CCD

Child 4:

Name Birth

Church of Bapt.

School 1st. Com. Conf. CCD

Child 5:

Name Birth

Church of Bapt.

School 1st. Com. Conf. CCD

 

*Education Code:

1 = Elem.

2 = High Sch.

3 = College or Univ.

 

 


 

 

 

 
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