Our Lady of the Rosary Catholic Church

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Lexington, North Carolina


ONLINE REGISTRATION FORM
Clicking on the "Submit" Button below will submit your registration form to Father Al.

FAMILY DATA


Last Name


First Name


Spouse's Name


Address: City, State, Zip Code

Telephone No.  Previous Parrish 
Email Address  
Date of Birth  Spouse's Date of Birth 
Marital Status   If married_when   

Please list any talents or ministries:  
                      

CHILDREN DATA

Please list from oldest to youngest - only those living with you.


Name

Sex      Date of Birth   

Place of Birth  
   City, State


Name

Sex      Date of Birth   

Place of Birth  
   City, State


Name

Sex      Date of Birth   

Place of Birth  
    City, State

 

 


Copyright 2004 Our Lady of the Rosary Catholic Church. All rights reserved.
Revised: 10/14/07