FAMILY NAME							Registration No.
HUSBAND							Registration Date
WIFE							Will you use envelopes?	yes	no
	Church Married		Civil Marriage		Common-Law

SINGLE ADULT	Family Name:				First Name:
	Never Married		Separated		Divorced		Widow/Widower

ADDRESS	Street	Apt/Unit
	City	Postal Code
	Phone No.	Unpublished?	yes	no

	HUSBAND Adult Male	WIFE Adult Female	CHILD	CHILD	CHILD
Last Name (if different)			(First Name)	(First Name)	(First Name)
Religion
Occupation
Business Phone
Sex
Birth Date	year / month / day	year / month / day	year / month / day	year / month / day	year / month / day
Marriage Date	year / month / day	year / month / day	year / month / day	year / month / day	year / month / day
Baptism	yes / no	yes / no	yes / no	yes / no	yes / no
First Communion	yes / no	yes / no	yes / no	yes / no	yes / no
Confirmation	yes / no	yes / no	yes / no	yes / no	yes / no

SPECIAL NEEDS:
COMMENTS:

Additional Children

	CHILD	CHILD	CHILD	CHILD
Last Name (if different)	(First Name)	(First Name)	(First Name)	(First Name)
Religion
Occupation
Business Phone
Sex
Birth Date	year / month / day	year / month / day	year / month / day	year / month / day
Marriage Date	year / month / day	year / month / day	year / month / day	year / month / day
Baptism	yes / no	yes / no	yes / no	yes / no
First Communion	yes / no	yes / no	yes / no	yes / no
Confirmation	yes / no	yes / no	yes / no	yes / no