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St. Anthony - New Member - Registration Form

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HEAD OF HOUSEHOLD 1

Head of Household 1: BIRTHDATE
Month
Day
Year
Marital Status

If this is a single-member family registration only, please submit now.

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Continue on to add more family members.

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Head of Household 2 / Spouse

HOH 2 / Spouse: BIRTH DATE
Month
Day
Year
Relationship to Head of Household 1

Submit now if no more family members. Continue on to add more members.

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Family Member 3

Birth Date
Month
Day
Year
Relationship

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Family Member 4

Birth Date
Month
Day
Year
Relationship

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Family Member 5

Birth Date
Month
Day
Year
Relationship

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If no more family members, submit now. Scroll down to add more members.

Family Member 6

Birth Date
Month
Day
Year
Relationship

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Family Member 7

Birth Date
Month
Day
Year
Relationship

St. Joseph Parish

79 Case Avenue

Sharon, Pennsylvania 16146

Pastor:  Fr. James Power

Office E-mail: StJosephChurchOffice@gmail.com

Phone: 724-981-3232

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