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Our Lady Star of The Sea Parish at 545 A1A North, Ponte Vedra Beach, FL 32082 US - New Parishioner Registration

New Parishioner Registration

Registration

If you wish to register as a member of our parish, please take a few moments to fill out the
registration form below.  Click on the Submit button to send your information to our office.

New Parishioner Registration Forms

General Information
Family Last Name:
Street Address Line #1:
Street Address Line #2:
City, State and ZIP:     ,  
Home Phone:
Cell Phone:
Email Address:
Will you use Offertory envelopes?:  Yes    No

Individuals

Registrant
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Occupation:
Business Phone:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   
Marital Status:
 Married     Married by a Catholic Priest    Marriage Date:
 Single     Widowed     Divorced
Spouse
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Occupation:
Business Phone:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   
Marital Status:
 Married     Married by a Catholic Priest    Marriage Date:
 Single     Widowed     Divorced

Children



Child (1)
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   



Child (2)
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   



Child (3)
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   



Child (4)
First Name:
Middle Name:
Title:
Last Name (if different from Family name):
Birth date:
Check all that apply:
 Baptized Catholic     1st Communion     1st Penance     Confirmed   
 

Comments:

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