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Parish Registration

Household Information
Head of Household
Spouse
Contact Info
(check all that apply)
Family Member Information (List only those presently living in household.)
Adult 1
(Check for yes)
Adult 2
(Check for yes)
Child 1
(Check for yes)
Child 2
(Check for yes)
Child 3
(Check for yes)
Child 4
(Check for yes)
Child 5
(Check for yes)
Input the information for additional children into this field.
Use this area for any other comments or questions you may have.
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