|
Family Name
|
Telephone Number
|
|
Street Address
|
City
|
State
|
Zip Code
|
|
Previous Parish
|
City
|
State
|
|
Husband (First, Middle & Last
Name)
|
Date of Birth
|
|
Husband's Church of Baptism
|
Date of Baptism
|
|
Wife (First, Middle & Last Name)
|
Date of Birth
|
|
Wife's Church of Baptism
|
Date of Baptism
|
|
Church of Marriage
|
Date of Marriage
|
|
Single - Head of Household (First, Middle
& Last Name)
|
Date of Birth
|
|
Single - Head of Household's Church of
Baptism
CHILDREN AND /
OR OTHER ADULTS
|
Date of Baptism
|
|
1st Person: (First, Middle & Last
Name)
|
Date of Birth
|
|
1st Person's Church of Baptism
|
Date of Baptism
|
|
2nd Person: (First, Middle & Last
Name)
|
Date of Birth
|
|
2nd Person's Church of Baptism
|
Date of Baptism
|
|
3rd Person: (First, Middle & Last
Name)
|
Date of Birth
|
|
3rd Person's Church of Baptism
|
Date of Baptism
|