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Please Fill out all fields that apply:
First name:

Last name:

Email address(required):

Ethnic Origin:

Address:

City:

State:

Zip Code:

Home Phone: Unlisted

(If applicable) Husband's Work Phone:

Wife's Work Phone:

Marital Status:

If married was this marriage celebrated as a Sacrament with the Catholic church?
Yes:
No:

Wifes maiden name:

Do you wish to receive offering envelopes?
Yes:
No:

Please Check the box if you are
interested in participating in any of the following:

Altar Servers
Bereavement
Centering Prayer
Child Care
Christian Family Movement
Eucharistic Ministers
Hospitality
Knights of Columbus
Lectors
Liturgical Environment
Music -- Choir
Pro Life
Pro Religious Education
Grades: Kindergarten - 1-6
Junior High: - 7-8
High School - Youth Ministry
Women Ministry
RCIA Christian Initiation for Adults
Women's Bible Class
Visitation of the Sick and Shut-ins

Family Member Information
Head of House Hold Spouse Child Child Child Child Other adults in home
First Name & Middle Inital
(last if Different from above)
Religion
Business Occupation
Grade/School/
University
Male/Female
Date of Birth
Sacraments Recieved
Please include dates if known, otherwise indicate YES or NO
Baptism
Eucharist
Confirmation
Matrimony

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St. Gabriel's Catholic Church
13734 Twin Peaks Rd.
P.O. Box 867
Poway, CA 92074-0867

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