MISSION SAN LUIS REY PARISH

Todays Date: ________/___

_____/_______
Title (Please Circle One): Mr./Mrs.

Mr.

Mrs.

Ms.

PLEASE PRINT
Miss
Other: _______________________

Name_________________________________________/_________________________________/___________________________
Last Name
First
Spouses First Name
Address_________________________________________________________________________________________Apt_________
City______________________________________ Zip_________________ Phone (_________) ___________________________
His Cell Ph: (_________) ______________________________

Her Cell Ph.: (________) _______________________________

E-mail: ___________________________________________@ _______________________

Office Use Only:

4070 Mission Ave. Oceanside CA 92057 -- Ph. (760) 757-3250 Fax. (760) 757-3299
Website: www.sanluisreyparish -- E-mail: mslrp@sanluisreyparish.org

MALE

1. FIRST
NAME

FEMALE

CHILD

CHILD

Envelope #___________

CHILD

CHILD

OTHER

2. MARITAL
STATUS
(Church/Civil)
3. RELIGION
4. HANDICAP/TYPE
5. LANGUAGE
SPOKEN OTHER
THAN ENGLISH
6. OCCUPATION, IF
RETIRED, PREVIOUS
OCCUPATION
7. ETHNIC GROUP
(OPTIONAL)
8. SEX

9. BIRTH DATE
MO./DAY/YR.

10. BAPTIZED?

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

11. 1ST
COMMUNION

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

12.CONFIRMATION

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

Would you consider volunteering one hour for your Parish this year? YES____ NO____ MAYBE____
Are your children registered at the Montessori School? YES____ NO____ Revised 6/09