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St. Hyacinth Parish Menber Registration

St. Anthony & St. Hyacinth Catholic Parishes > St. Hyacinth Parish Menber Registration

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I would like to Join-Me gustaria registrarme en: *

St. Hyacinth Parish- Parroquia San Jacinto

Head of the Household Name-Nombre Completo de la Cabeza de Familia *

First

Middle

Last

Date of Birth-Fecha de Nacimiento *

Occupation-Ocupación

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email-Correo Electrónico *

Language-Idioma *

English
Spanish
Both of Them

Marital Status-Estado Civil *

Catholic Marriage-Matrimonio Católico
Civil Marriage-Matrimonio Civil
Living Together-Viviendo en Unión Libre
Single-Soltero
Other-Otro

Spouse Name-Nombre del Cónyuge

First

Middle

Last

Date of Birth-Fecha de Nacimiento

Phone

Email-Correo Electrónico

like Cabeza para

First Dependent-Primer Dependiente

First

Middle

Last

Date of Birth-Fecha de Nacimiento

Gender-Género

Male-Masculino
Female-Femenino

Second Dependent-Segundo Dependiente

First

Middle

Last

Date of Birth-Fecha de Nacimiento

Gender-Género

Male-Masculino
Female-Femenino

Third Dependent-Tercer Dependiente

First

Middle

Last

Date of Birth-Fecha de Nacimiento

Gender-Género

Male-Masculino
Female-Femenino

Do you have more dependents?-¿Tiene más dependientes?

Yes-Si
No

Would you like to sign up for recurring weekly donations? Please provide your information.Le gustaria registrarse para hacer donaciones semanales recurrentes? Por favor proporciones su informacion. *

Yes, I can provide my information. Si, Puedo proporcionar mi informacion.
No, I prefer to receive the envelopes. No, Prefiero recibir los sobres.

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Archdiocese of Milwaukee

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