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 Welcome to our Parish
 

 

Register Today

Please provide as much information as possible:

Name:  
Address:
Subdivision:
City:
State:
Zip:
E-mail:
Home Tel:
Cell Phone:
Work Tel:
Occupation:
Married By:     Priest Deacon Other
List "Other":
Do you speak a second language?:
If so, what?:
Can we call on you if an interpreter is needed?:
Please Enter Your Wedding Date:
 

Please fill out this area on your family:

First Adult:
First Name:  
Middle Name:
Last Name:
Maiden Name:
Birth Date:
Work Tel:
Occupation:

Baptism First Communion Penance Confirmation

 

  
Second Adult:
First Name:  
Middle Name:
Last Name:
Maiden Name:
Birth Date:
Work Tel:
Baptism First Communion Penance Confirmation
   

First Child:
First Name:
Middle Name:
Last Name:
Birth Date:
Student:
School:
Baptism First Communion Penance Confirmation
   

Second Child:
First Name:
Middle Name:
Last Name:
Birth Date:
Student:
School:
Baptism First Communion Penance Confirmation
   

Third Child:
First Name:
Middle Name:
Last Name:
Birth Date:
Student:
School:
Baptism First Communion Penance Confirmation
   

Fourth Child:
First Name:
Middle Name:
Last Name:
Birth Date:
Student:
School:
Baptism First Communion Penance Confirmation
   

Fifth Child:
First Name:
Middle Name:
Last Name:
Birth Date:
Student:
School:
Baptism First Communion Penance Confirmation

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  4921 Columbia Road - Grovetown, Georgia 30813 - (706)863-4956
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