Online Registration - Join Nativity Church

Nativity
Catholic Church
705 E. Brandon
Boulevard
Brandon, FL
33511-5443

E-Mail

Phone:
(813) 681-4608

Fax:
(813) 653-9482

               Nativity Catholic Church
                    Registration Form

You may register with Nativity Church using this Online Registration Form.

PLEASE NOTE:
You must enter information into every white space on this form.
If it does not apply to you, you must enter N/A (not applicable).

If you receive an error message, please click the 'back button' on your browser
and enter the required information, or enter N/A (not applicable).

ALL INFORMATION IS FOR CHURCH RECORDS ONLY AND IS STRICTLY CONFIDENTIAL.

To register online, complete the form below, click "Send it Now" at the bottom of the page.

 

Online Registration Form

Family Name

Last Name:               

Street Address:  
City                Zip Code: 
Phone Number:     Unlisted?  
Email:         Seasonal Resident   Permanent Resident
Married (in Catholic Church)   Married (in another Church)   Married (Civil Ceremony)  
Single  Divorced   Widowed

Head of Household
Last:    First: Middle Initial:        
Male Female    
Baptism? First Communion? Confirmation?
Religious Denomination: Handicap:   
Languages Spoken: Occupation:
Place of Employment: Business Phone:
Date of Birth:    Date of Marriage:     Education Level:

Spouse

Last:  First: Middle Initial:       
Male Female    
Baptism? First Communion? Confirmation?
Religious Denomination: Handicap:
Languages Spoken: Occupation:
Place of Employment: Business Phone:
Date of Birth:   Date of Marriage:   Education Level: 

Child 1 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:

Child 2 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  

Child 3 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  

Child 4 (living at home)

Male Female    
Last: First: Middle Initial:
Baptism? First Communion? Confirmation?
Date of Birth:  


More children or others living at home? Comments?  Please use the area below.

Weekly Contribution Envelopes
You should receive weekly contribution envelopes in about 10 working days.

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