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PARISH REGISTRATION
Family Information
Family Last Name

Address

Address cont.
City/State/ZIP    
,  
Home Phone

Family E-Mail Address*

Dates are in mm/dd/yyyy format
HUSBAND WIFE
First Name
 First Name / Maiden Name
 
Date of Birth
Date of Birth
Work Phone
 Work Phone
Cell Phone
 Cell Phone

Employer

Employer
Sacramental Information Sacramental Information
 

Baptismal Name

Baptismal Name

Date, if known

Date, if known

City
 State
City
 State
Date, if known
Date, if known
Date, if known
Date, if known
City
 State
City
 State
  Name
  Name

Date, if known

Date, if known

City

 State
City

 State
MARRIAGE INFORMATION

Marriage Date

Parish in which you were married
City

 State
   
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3049 LaFayette Road, Fort Oglethorpe, GA 30742< /tr>