Registration Church Contact 17252 Bernardo Center Drive San Diego, CA 92128 Phone: (858) 487-4314 Fax: (858) 487-1498 Downloadable Registration Form Online Change of Address Register your Family at San Rafael Parish Fields marked with an * are required Basic Information Last Name * Husband's First Name Wife's First Name Address 1 * Apt or Unit number * City and Zipcode * Mailing Address (if different from above) Home Phone * Work Phone Cell Phone 1 Cell Phone 2 Email Husband's Date of Birth Wife's Date of Birth Primary Language Spoken in Household Would you like offertory envelopes? Yes - weeklyYes - monthlyNo, thank you Husband's Sacramental Information Catholic Yes No Sacraments Received BaptismFirst Holy CommunionConfirmationMarriage Mass Attendance Weekly Monthly Seldom Wife's Sacramental Information Catholic Yes No Sacraments Received BaptismFirst Holy CommunionConfirmationMarriage Mass Attendance Weekly Monthly Seldom Occupational Information Husband's Occupation (if applicable) Husband's Former Occupation (if retired) Husband's Place of Employment Wife's Occupation (if applicable) Wife's Former Occupation (if retired) Wife's Place of Employment Emergency Contact Full Name Relationship Primary Phone Alternate Phone Dependent Children Living at Home Child 1 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 2 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 3 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 4 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 5 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 6 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 7 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 8 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Child 9 Full Name Gender Male Female Child's Date of Birth Sacraments Received BaptismFirst Holy CommunionConfirmation Other Adults Living at Home Adult 1 Full Name Date of Birth Male Female Gender Weekly Monthly Seldom Mass Attendance Sacraments Received BaptismFirst Holy CommunionConfirmation Adult 2 Full Name Date of Birth Male Female Gender Weekly Monthly Seldom Mass Attendance Sacraments Received BaptismFirst Holy CommunionConfirmation Leave a Reply Cancel reply You must be logged in to post a comment.
