PARISH REGISTRATION
SAINT TIMOTHY CHURCH
1799 Warwick Avenue; Warwick, RI 02889
401-739-9552 – e-mail: sttim1799@aol.com – Fax 401-738-2466
DATE: ____/____/_____
FAMILY NAME:_________________________________________________________________
ADDRESS:____________________________________________________________________
PHONE(S):____________________________________________________________________
Please indicate whether it is a home, cell, or work number.
EMAIL:_________________________________________________________________
BUDGET ENVELOPE: Y or N
DATE & PLACE OF MARRIAGE:________________________________________________
BY: PRIEST MINISTER JP OTHER
LIST YOURSELF AND ALL THOSE LIVING WITH YOU:
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS:_______________________RELIGION:______________________
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS::_______________________RELIGION:______________________
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO
MAIDEN NAME:______________________________________________________________________
CHILDREN’S NAME:
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS:_______________________RELIGION:______________________ GRADE____
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS:_______________________RELIGION:______________________GRADE___
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS:_______________________RELIGION:______________________GRADE___
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO
NAME:_______________________________________________________________________
DATE OF BIRTH____/____/____ GENDER :_____________
MARITAL STATUS:_______________________RELIGION:______________________GRADE___
BAPTISM: YES NO FIRST COMM: YES NO CONFIRMATION: YES NO