"*" indicates required fields Δ Family Last Name(s)*(Apellido(s) familiar(es))Home PhoneTeléfono de casaEmail*Correo electrónico Address (DIRECCIÓN)* Street Address (DIRECCIÓN) City (Ciudad) AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State (Estado) Zip (Código postal) Are you transferring from another parish within the Archdiocese of Baltimore?*¿Se está trasladando desde otra parroquia dentro de la Arquidiócesis de Baltimore? Yes No If yes, from which parish?If yes, from which parish?What is your preferred method of charitable giving?*¿Cuál es su método preferido para realizar donaciones benéficas? Weekly Offering Envelopes (Sobres para la ofrenda semanal) Online Giving *Parish Preferred Method* (Donaciones en línea *Método preferido de la parroquia*) Would you like to receive the Catholic Review magazine?¿Le gustaría recibir la revista Catholic Review? Yes (Sí) No Would you like to subscribe to our email list on Flocknote?¿Le gustaría suscribirse a nuestra lista de correo en Flocknote? Yes (Sí) No Head of House #1 (Jefe de casa # 1)Enter information below for an adult in this household (over 21 or married person)Name*Nombre Prefix (Prefijo) MissMr.Mrs.Ms. First Name (Nombre de pila) Full Middle Name (Segundo nombre completo) Last Name (Apellido) Maiden Name (if applicable)Apellido de soltera (si corresponde)Email*Correo electrónico Cell PhoneTeléfono móvilOccupationOcupaciónGenderGénero Male (Masculino) Female (Femenina) Date of Birth*Fecha de nacimiento MM slash DD slash YYYY DenominationDenominaciónCatholic (Católica)Protestant (Protestante)Jewish (Judío)IslamOther (Otro)No Affiliation/None (Sin afiliación / Ninguna)Marital StatusEstado civilMarried (Casado)Single (Soltero)Separated (Apartado)Divorced (Divorciado)Widowed (Viudo)Baptism*Bautismo Yes (Sí) No First PenancePrimera Penitencia Yes (Sí) No First CommunionPrimera Comunión Yes (Sí) No BaptismBautismoDate BaptizedFecha de bautismo MM slash DD slash YYYY Name of Church (where baptism was administered)Nombre de la iglesia (donde se administró el bautismo)DenominationDenominaciónCatholic (Católica)Protestant (Protestante)Jewish (Judío)IslamOther (Otro)No Affiliation/None (Sin afiliación / Ninguna)Church LocationUbicación de la iglesia City (Ciudad) State (Estado) Baptismal Certificate (Certificado de bautismo)Max. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate. (Si dispone de ella, por favor suba una copia de su certificado de bautismo.)Catholic ConfirmationConfirmación católica Yes (Sí) No ConfirmationConfirmaciónDate of ConfirmationFecha de confirmación MM slash DD slash YYYY Name of Church (where you were confirmed)Nombre de la iglesia (donde recibió la confirmación)Church LocationUbicación de la iglesia City (Ciudad) State (Estado) Marriage By Catholic PriestMatrimonio oficiado por un sacerdote católico Yes (Sí) No MarriageCasamientoDate of MarriageFecha de matrimonio MM slash DD slash YYYY Name of Church (where you were married)Nombre de la iglesia (donde se casó)Church LocationUbicación de la iglesia City (Ciudad) State (Estado) Head of House #2Enter information below for an adult in this household (over 21 or married person) Name MissMr.Mrs.Ms. Prefix First Name Full Middle Name Last Name Maiden Name (if applicable)Email Cell PhoneOccupationGender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneMarital StatusMarriedSingleSeparatedDivorcedWidowedBaptism Yes No First Penance Yes No First Communion Yes No BaptismDate Baptized MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No ConfirmationDate of Confirmation MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Marriage By Catholic Priest Yes No MarriageDate of Marriage MM slash DD slash YYYY Name of Church(where you were married) Church Location City State / Province / Region Family Member #3Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No BaptismDate Baptized MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No ConfirmationDate of Confirmation MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #4Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation (if applicable) MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #5Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #6Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation (if applicable) MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #7Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation (if applicable) MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #8Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation (if applicable) MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region Add another family member? Yes No Family Member #9Add another memberName First Name Full Middle Name Last Name Gender Male Female Date of Birth MM slash DD slash YYYY DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneBaptism Yes No First Penance Yes No First Communion Yes No Date Baptized (if applicable) MM slash DD slash YYYY Name of Church(where baptism was administered) DenominationCatholicProtestantJewishIslamOtherNo Affiliation/NoneChurch Location City State / Province / Region Baptismal CertificateMax. file size: 50 MB. If available, please upload a copy of your Baptismal Certificate.Catholic Confirmation Yes No Date of Confirmation MM slash DD slash YYYY Name of Church(where you were confirmed) Church Location City State / Province / Region PLEASE PROVIDE ANY ADDITIONAL INFORMATION
