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St. Charles

Saint Charles & Saint George
catholic church

St. George

Welcome to Saint Charles!

Thanks for taking a moment to register your household's information with Saint Charles Borromeo Parish.

REGISTRATION FORM

Member Information:

Envelope Number (if you have one)

Role (Head, Husband, Wife)

First Name

Marital Status *

Single

Civil Marriage

Church

Free Union

Widow

Divorce

Middle Name

Birthday

Language

Gender (M/F)

Home Phone

Last Name

Place of Birth

Ethnicity

Cell Phone

Email

Children?

If yes. How many children do you have?

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

SACRAMENTS RECEIVED

Baptism

Confirmation

Reconciliation

Catholic Marriage

First Communion

Spouse's Information:

Role (Head, Husband, Wife)

Spouse's First Name

Marital Status *

Single

Civil Marriage

Church

Free Union

Widow

Divorce

Spouse's Gender (M/F)

Spouse's Middle Name

Spouse's Place of Birth

Spouse's Last Name

Spouse's Ethnicity

Spouse's Birthday

Spouse's Cell Phone

Spouse's Email

SPOUSE'S SACRAMENTS

Baptism

Confirmation

Reconciliation

First Communion

Catholic Marriage

Children's Information:

Child #1

Child#1 First Name

Child#1 Gender (M/F)

Child#1 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #1 Last Name

Chilld#1 Birthday

Child#1 Language

Child#1 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #2

Child#2 First Name

Child#2 Gender (M/F)

Child#2 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #2 Last Name

Chilld#2 Birthday

Child#2 Language

Child#2 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #3

Child#3 First Name

Child#3 Gender (M/F)

Child#3 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #3Last Name

Chilld#3 Birthday

Child#3 Language

Child#3 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Child #4

Child#4 First Name

Child#4 Gender (M/F)

Child#4 Sacraments Received

Baptism

Reconciliation

First Communion

Confirmation

Child #4 Last Name

Chilld#4 Birthday

Child#4 Language

Child#4 - If your child received a Sacrament please provide us with the date, place and the name of the celebrating priest

Additional Information/Notes:

if you pefer, you may print the form and uploaded or mail it to us.

UPLOAD REGISTRATION FORM

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Registration

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DONATIONS

Please help us support our Parish and make a difference in our faith journey together!

First name

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Email

Donate in the name of

Enter the amount you wish to pay:

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Thank you for your donation! God Bless you!

391 Ogden Street, Bridgeport, CT 06608 Telephone (203) 333-2147 E-mail: office@stcharlesbridgeport.org

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REGISTRATION FORM

Member Information:

SACRAMENTS RECEIVED

Spouse's Information:

SPOUSE'S SACRAMENTS

Children's Information:

Child #1

Child #2

Child #3

Child #4

DONATIONS

Please help us support our Parish and make a difference in our faith journey together!

391 Ogden Street, Bridgeport, CT 06608 Telephone (203) 333-2147 E-mail: office@stcharlesbridgeport.org

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