Our Lady of Fatima
Catholic Church

Household Registration
Family Name:  
Address:  
City:  
State:  
Zip:  
Home Phone (with area code):
Primary email:  
Permission to publish address and phone in Parish Directory?
Please select method for contributing to the Sunday offertory:
Electronic Funds Transfer (EFT) from bank account or credit card
Envelopes for weekly offertory
Role (select one)
First Name / Nickname:
Work Phone / Cell Ph:
Email:
DOB (mm/dd/yy):
Gender:
First Language:
Occupation:
Sacramental Info:
Check if Sacrament 
Received
Would you like someone to contact you regarding sacramental needs?
Use the following section for dependent children and additional family members.
Children/Additional Family Members (living in household)
Relationship           First Name             Last Name                Birthdate                 School/Grade
                                                                                                                                      (if applicable)
1
2
3
4
5
6
Sacramental Info:
Check if Sacrament 
Received
Sacramental Info:
Check if Sacrament 
Received
Sacramental Info:
Check if Sacrament 
Received
Sacramental Info:
Check if Sacrament 
Received
Sacramental Info:
Check if Sacrament 
Received
Sacramental Info:
Check if Sacrament 
Received
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EFT
Envelopes
Head of House HusbandWife
M F
Baptism
1st Eucharist
Reconciliation
Confirmation
Head of House HusbandWife
M F
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation
Baptism
1st Eucharist
Reconciliation
Confirmation