St. Raymond Catholic Church Family Registration Form

Welcome to St. Raymond Catholic Church. We are so excited that you have decided to
 join our Parish. Please visit our website at srcdublin.org for more
 information. Once you have filled out the registration form and hit Submit, you will be
 directed to our Vanco web page for electronic funds transfer option.
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Click Submit Form to send this information to St. Raymond Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
 - ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
*Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Date Place
  Communion Date Place
  Confirmation Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
  Ministry 5 Interested in Joining

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  Communion Received Date Place
  Confirmation Received Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
  Ministry 3 Interested in Joining
  Ministry 4 Interested in Joining
  Ministry 5 Interested in Joining

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks


Click Submit Form to send this information to St. Raymond Church.
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St. Raymond Church