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95A Henry Street
Greenwich, CT 06830
(203) 531-8730
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SACRED HEART CHURCH: 95A Henry Street, Greenwich, CT 06830
Phone: 203 531-8730 Fax: 203 531-8794
Email:
Sacredheartgrn@optonline.net
www.sacredheartgreenwich.org
Mailing Address: 38 Gold Street, Greenwich, CT 06830
PLEASE COMPLETE THE FORM & CLICK “SUBMIT”
LAST NAME:
*
ADDRESS:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
PHONE:
*
WORK PHONE:
CELL PHONE:
EMAIL:
*
EMAIL:
FIRST & LAST NAME:
*
First
Last
FIRST & LAST NAME:
First
Last
FIRST & LAST NAME:
First
Last
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
*
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
MARITAL STATUS:
*
MARITAL STATUS:
MARITAL STATUS:
RELIGION:
*
RELIGION:
RELIGION:
SPECIAL NEEDS:
*
SPECIAL NEEDS:
SPECIAL NEEDS:
PRIMARY LANGUAGE SPOKEN:
*
PRIMARY LANGUAGE SPOKEN:
PRIMARY LANGUAGE SPOKEN:
SECONDARY LANGUAGE:
*
SECONDARY LANGUAGE:
SECONDARY LANGUAGE:
OCCUPATION:
*
OCCUPATION:
OCCUPATION:
GRADE / DEGREE:
*
GRADE / DEGREE:
GRADE / DEGREE:
SEX:
*
M
F
SEX:
M
F
SEX:
M
F
DOB:
*
MM slash DD slash YYYY
DOB:
MM slash DD slash YYYY
DOB:
MM slash DD slash YYYY
SACRAMENTS RECEIVED
SACRAMENTS RECEIVED
SACRAMENTS RECEIVED
BAPTISM:
*
Yes
No
BAPTISM:
Yes
No
BAPTISM:
Yes
No
RECONCILIATION:
*
Yes
No
RECONCILIATION:
Yes
No
RECONCILIATION
Yes
No
FIRST COMMUNION:
*
Yes
No
FIRST COMMUNION:
Yes
No
FIRST COMMUNION:
Yes
No
CONFIRMATION:
*
Yes
No
CONFIRMATION:
Yes
No
CONFIRMATION:
Yes
No
MARRIAGE:
*
Yes
No
MARRIAGE:
Yes
No
MARRIAGE:
Yes
No
PAGE 2
FIRST & LAST NAME:
First
Last
FIRST & LAST NAME:
First
Last
FIRST & LAST NAME:
First
Last
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
RELATIONSHIP TO HEAD OF HOUSEHOLD (EX: Spouse/Daughter, Etc.):
MARITAL STATUS:
MARITAL STATUS:
MARITAL STATUS:
RELIGION:
RELIGION:
RELIGION:
SPECIAL NEEDS:
SPECIAL NEEDS:
SPECIAL NEEDS:
PRIMARY LANGUAGE SPOKEN:
PRIMARY LANGUAGE SPOKEN:
PRIMARY LANGUAGE SPOKEN:
SECONDARY LANGUAGE:
SECONDARY LANGUAGE:
SECONDARY LANGUAGE:
OCCUPATION:
OCCUPATION:
OCCUPATION:
GRADE / DEGREE:
GRADE / DEGREE:
GRADE / DEGREE:
SEX:
M
F
SEX:
M
F
SEX:
M
F
DOB:
MM slash DD slash YYYY
DOB:
MM slash DD slash YYYY
DOB:
MM slash DD slash YYYY
SACRAMENTS RECEIVED
SACRAMENTS RECEIVED
SACRAMENTS RECEIVED
BAPTISM:
Yes
No
BAPTISM:
Yes
No
BAPTISM:
Yes
No
RECONCILIATION:
Yes
No
RECONCILIATION:
Yes
No
RECONCILIATION:
Yes
No
FIRST COMMUNION:
Yes
No
FIRST COMMUNION:
Yes
No
FIRST COMMUNION:
Yes
No
CONFIRMATION:
Yes
No
CONFIRMATION:
Yes
No
CONFIRMATION:
Yes
No
MARRIAGE:
Yes
No
MARRIAGE:
Yes
No
MARRIAGE:
Yes
No
PLEASE SELECT:
Adult Faith Formation
Childrens Faith Formation
RCIA
Religious Education Teacher
Counter
Acolyte
Cantor
Lector
Eucharistic Minister
Greeter
Usher
Altar Server
Grounds/Facilities
Moms Prayer Group
Social Concerns Ministry
Sick and Shut In Visitation
Bereavement Ministry
Mens Group
Ladies Guild
Prayer Shawl Ministry
Scripture Study
Spiritual Book Club
Christian Meditation Group
MUSICIAN – INSTRUMENT(S) PLAYED:
OTHER PRAYER GROUP (Specify):
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