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PARISH REGISTRATION

Family Information
Family Last Name  

Address  

Address cont.
City/State/ZIP     
,  
Home Phone

Family E-Mail Address*

Dates are in mm/dd/yyyy format
HUSBAND WIFE
First Name
First Name / Maiden Name
 
Date of Birth  
Date of Birth  
Work Phone
Work Phone
Cell Phone
Cell Phone

Employer

Employer


Sacramental Information Sacramental Information
 

Baptismal Name

Baptismal Name

Date, if known  

Date, if known  

City
State
City
State

Date, if known
Date, if known

Date, if known
Date, if known
City
State
City
State

  Name
  Name

Date, if known

Date, if known

City

State

City

State


MARRIAGE INFORMATION

Marriage Date

Parish in which you were married

City

State

   
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3049 LaFayette Road, Fort Oglethorpe, GA 30742< /tr>