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Find a Home at Christ the Divine Shepherd

FAMILY REGISTRATION / UPDATE FORM
- Welcome to the Christ the Divine Shepherd parish family! Please fill out the form below as completely and accurately as possible. If you have any questions or would prefer a paper copy of the form, please contact the Parish Office at [email protected] or (412) 373-0050.
- Family Information
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Preferred Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Preferred Email REQUIRED Please fill out this field. Please enter an email address.
  
  Would you like this email to be added to our mailing list? REQUIRED Yes No Please fill out this field.
  
  Parishioner Status REQUIRED
  If you are no longer, or no longer wish to be a parishioner, there is no need to complete the rest of the survey. We will adjust our records to reflect your inactive status.
  Please fill out this field.
  
  If you are no longer, or wish to no longer be, a member of Christ the Divine Shepherd, there is no need to complete the rest of the form. However, we do invite you to share why you decided to leave the parish.
  
  Do you currently receive offertory envelopes? REQUIRED Yes, and I wish to continue receiving envelopes Yes, but I would like to enroll in eGiving No, but I would like to begin receiving envelopes No, but I would like to enroll in eGiving Please fill out this field.
  
  CDS does offer secure online giving through Vanco. To enroll in eGiving please click here or visit https://christthedivineshepherd.org/online-giving for more informaiton.
  
  Head of Household
  
  Please provide the information for one adult household member who can serve as the primary contact.
  
  Title REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record for Baptism, First Communion and Confirmation ( Please put Date, Church and City/State for each Sacrament) REQUIRED
  Please fill out Date, The Church and the City and State of the Sacrament Received.
  Please fill out this field.
  
  Marital Status
  
  If married by a Catholic priest or deacon, please provide the date, church, and location (city/state). If selected "other," please describe. Please enter valid data.
  
  In what ministries/organizations are you currently, or would you like to be, involved?
  Please choose all in which you are interested. This is only a partial list. If you have other talents or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister - Hospital Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Number of Additional Family Members REQUIRED
  Please complete the following information for all members of the household.
  Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name (if applicable) Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth (MM/DD/YYYY) Please enter a date.
  
  Religion Please enter valid data.
  
  Ethnicity / Race Please enter valid data.
  
  Language(s) Please enter valid data.
  
  Handicap / Disability / Special Needs Please enter valid data.
  
  Current Grade or Degree / Grade Completed Please enter valid data.
  
  Occupation or School Please enter valid data.
  
  Sacramental Record REQUIRED
  Please list Date, Church, and City/State for each sacrament received
  Please fill out this field.
  
  In what ministries / organizations would you like to use your God-given gifts?
  Please choose all in which you are interested. This is only a partial list. If you have another talent or would like to be involved in a ministry which is not listed, please note in the next question.
  Altar Server Arts & Environment Committee Bell Choir Bible Study Catholic Daughters of America Choirs / Music Ministry Children's Liturgy of the Word Eucharistic Minister Extraordinary Minister of Holy Communion Faith Formation (Adult or Youth) Gardening / Landscaping Knights of Columbus Ladies of Charity Lector Maintenance Money Counter Office Volunteer Prayer Chain / Group RCIA Sacristan Senior Group St. Vincent DePaul Society Usher / Greeter Youth Ministry
  
  What else should we know about you? If you have any additional talents, gifts, or skills and/or comments, suggestions, or ideas, please list them here!
  
  Family Member 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Relationship to Head of Household Please enter valid data.
  
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