OUR LADY OF THE CAPE PARISH

Served by the Missionaries of La Salette

468 Stony Brook Road - P.O. Box 1799 - Brewster, MA 02631-7799
Phone: 508-385-3252 Fax: 508-385-6864 E-mail: ourladyofthecapebrewster@gmail.com

PARISH REGISTRATION FORM

This is an interactive PdF form: 1) download the PdF form; 2) open the Pdf form on your computer; 3) fill the appropriate fields; 4) save
the PdF form; 5) send it as attachment to: ourladyofthecapebrewster@gmail.com.

Family Name Last _____________________________ Phone # _____________________ Cell # ____________________ Unlisted

(Y)

(N)

Mailing Address _______________________________________ P.O. Box ________ Town ____________________________ Zip ___________________

Residential Address ____________________________________________________

Town ___________________________ Zip ____________________

(If different)

Do you wish to use Budget Envelopes?

YES

NO _____ Full-time Resident?

YES

NO

Winter Address ________________________________________ P.O. Box ________ Town ____________________________ Zip ___________________

Residing from (Month/Day) ____________________ To: (Month/Day) ___________________________ Phone No. (_________)______________________

Marital Status:

Married Date of Marriage: _________________ Catholic Church Marriage:

Separated

Divorced

Widowed

Single

Please List Adult

(Head of Household First/Middle Name)

___________________________

Religion

Date of Birth

YES

Sacraments Received: YES NO

Baptism
1st Communion

Confirmation

NO

Occupation

_______

____________

_______

_____________

___________

________________________

_______

____________

_______

_____________

___________

________________________

(Spouse First, Middle & Maiden Name)

___________________________

I/We would like to volunteer for the following ministries ___________________________________________________________________________________

School Age Children & Younger

Religion

(M) (F)
Date of Birth

Baptism

1st Comm

Confirm.

School

Grade

_________________________

_______________

______________ ________ ________

________

_________________

_________________

_________________________

_______________

______________ ________ ________

________

_________________

_________________

_________________________

_______________

______________ ________ ________

________

_________________

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