- Registration Form

Registration Form

City:

(If you lived here, you'd be home now)

To Register at St. Brendan on the Lake

Fill form out include each family member, or click here to print a registration form and email back to the office at office@stbrendanonthelake.org or drop it in the collection basket on the weekend.

Thank you

Title

Family Name^*

Address

City, State, Zip code

Phone Number

phone unlisted?
Yes No

Email Address^*

Marital Status

Marriage Date

Marriage Location

Full Name of Head of house^*

Sex

Religion

Date of Birth^*

Please list Sacraments include dates if possible

Full Name of spouse include Maiden name

Sex

Religion

Date of Birth

Please list Sacraments include dates if possible

Full Name Child

Sex

Date of Birth

sacraments made, include date if possible

Full Name Child

Sex

Date of Birth

sacraments made, include date if possible

Full Name Child

Sex

Date of Birth

sacraments made, include date if possible

Full Name Child

Sex

Date of Birth

sacraments made, include date if possible

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