Family Registration Form

Welcome to Immaculate Conception & St Therese Catholic Churches.
 Visit our web site at www.st-therese.cc or www.icseattle.org
 for more information.
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Click Submit Form to send this information to St. Therese Parish.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
*Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  1st Comm Received Date Place
  Confirm Received Date Place
  Marriage Received Date Place

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place