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PARISH REGISTRATION FORM

Welcome to St. Peter Damian Parish. We are happy to have your join our parish family. Please answer all questions to complete your parish registration. If you have any questions, please contact the parish office at 630-837-5411 or email info@stpeterdamian.org.

**PLEASE REGISTER CHILDREN THAT ARE UNMARRIED AND LIVING AT THE SAME HOUSEHOLD ADDRESS ONLY. (COLLEGE STUDENTS THAT ARE AWAY MAY BE ADDED TO YOUR FAMILY REGISTRATION) ADULT CHILDREN WHO ARE LIVING ON THEIR OWN OR THAT ARE MARRIED SHOULD REGISTER ON THEIR OWN.**

County

All the boxes below must be answered for the head of the household.

Head of Household Gender
Head of Household Date of Birth
Month
Day
Year
Marital Status
If married, date of marriage
Month
Day
Year
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

All the boxes below must be answered for the spouse.

Spouse's Gender
Spouse's Date of Birth
Month
Day
Year
Marital Status
If married, date of marriage
Month
Day
Year
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

All boxes must be answered for child # 1.

Child # 1 Gender
Child # 1 Date of Birth
Month
Day
Year
Marital Status
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

All boxes must be answered for child # 2.

Child # 2 Gender
Child # 2 Date of Birth
Month
Day
Year
Marital Status
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

All boxes must be answered for child # 3.

Child # 3 Gender
Child # 3 Date of Birth
Month
Day
Year
Marital Status
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

All boxes must be answered for child # 4.

Child # 4 Gender
Child # 4 Date of Birth
Month
Day
Year
Marital Status
Religion
Have you received the Sacrament of Baptism?
Have you received the Sacrament of Confession?
Have you received the Sacrament of First Communion?
Have you received the Sacrament of Confirmation?

St. Peter Damian Catholic Church

109 S. Crest Avenue

Bartlett, IL 60103

Parish Office Hours

Monday - Friday

9:00 am - 2:00 pm

Phone: 630-837-5411

Fax: 630-837-9424

info@stpeterdamian.org

Find us on our new Facebook page at St Peter Damian!

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Join FLOCKNOTE to stay up to date on parish events, news, and more. Text SPDBARTLETT to 84576 or connect with us online at stpeterdamianparish.flocknote.com

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