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Registration Form Registration Form

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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