Registration

Family Name	Family Unit

Address

Parish and Dioces in India

Phone	Mobile
Email

Head of Family

First Name
Last Name
Other Name
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 1 / Spouse
First Name
Last Name
Relationship to head of family
Date or year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 2
First Name
Last Name
Relationship to head of family
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 3
First Name
Last Name
Relationship to head of family
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 4
First Name
Last Name
Relationship to head of family
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 5
First Name
Last Name
Relationship to head of family
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Family Member 6
First Name
Last Name
Relationship to head of family
Date or Year of Birth	\|
Date & Parish of Baptism
Date & Parish of Confirmation
Date & Parish of Communion
Date & Parish of Marriage

Please tick boxes

I would like to be part of the planned giving to support the priest and church expenses by weekly/monthly/yearly contribution titthe, or throuh direct debit.
I would like to authorize St Alphonsa Parish to keep the above information.I consent the parish to use my name and contact details at Parish Directory.

Signature

Registration

Head of Family

Family Member 1 / Spouse

Family Member 2

Family Member 3

Family Member 4

Family Member 5

Family Member 6