Parish Registration Form

Welcome to St. Charles! Please call the office at 703-527-5500 if you have questions
about the form, or just add any questions or comments to the notes fields and we'll
be in touch. Thank you!

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Click Submit Form to send this information to St. Charles Borromeo Church.

*Required fields

*Family Option	New Family Information	Update Existing Family Information ID/Env:
	Call St. Charles Borromeo Church at (703) 527-5500, if you do not know your ID Number or Envelope Number.

Family Member 1 (you)
Title
*First Name		*Last Name
		Nickname
		Maiden Name
*Ethnicity		*Birth Date
*Sex at birth
Language		*Marital Status
RELIGION

Phone		( ) - Unlisted
Email		Unlisted
Sacraments (aprx dates are ok)
Baptism		Date
First Communion		Date
Confirmation		Date

Spouse (if appliable)
Title
First Name		Last Name
		Nickname
		Maiden Name
Ethnicity		Birth Date
Sex at birth
Language		Marital Status
RELIGION

Phone 1		( ) - Unlisted
Email 1		Unlisted
Sacraments
Baptism		Date
First Communion		Date
Confirmation		Date

Family Street Address
*Line 1
Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary		( ) - Unlisted
Email
*Email		Unlisted
Family Remarks
Remarks

Child (or other family)		Type

First Name		Last Name
Middle Name		Nickname

Ethnicity		Birth Date
Sex at birth		Grade/Degree
Language

School
Best Phone		( ) - Unlisted
Best Email		Unlisted
Sacraments
Baptism		Date
First Communion		Date
Confirmation		Date

Click Submit Form to send this information to St. Charles Borromeo Church.

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St. Charles Borromeo Church

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St. Charles Borromeo Church

Parish Registration Form

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St. Charles Borromeo Church