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FAMILY INFORMATION

Family LAST Name REQUIRED Please fill out this field. Please enter valid data.

Registering as parishioners at: REQUIRED Please fill out this field.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Preferred Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Number of ADULT Family Members REQUIRED Please fill out this field.
Adult's Name 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Maiden Name Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received REQUIRED Baptism First Eucharist Confirmation Marriage Please call, I have questions Please fill out this field.
- Marital Status REQUIRED Married Single Widowed Please fill out this field.
- Role REQUIRED Husband Wife Head of Household Please fill out this field.
Adult's Name 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Maiden Name Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received REQUIRED Baptism First Eucharist Confirmation Marriage Please call, I have questions Please fill out this field.
- Marital Status REQUIRED Married Single Widowed Please fill out this field.
- Role REQUIRED Husband Wife Head of Household Please fill out this field.
Adult's Name 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Maiden Name Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received REQUIRED Baptism First Eucharist Confirmation Marriage Please call, I have questions Please fill out this field.
- Marital Status REQUIRED Married Single Widowed Please fill out this field.
- Role REQUIRED Husband Wife Head of Household Please fill out this field.
Adult's Name 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Maiden Name Please enter valid data.
- Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
- Sacraments Received REQUIRED Baptism First Eucharist Confirmation Marriage Please call, I have questions Please fill out this field.
- Marital Status REQUIRED Married Single Widowed Please fill out this field.
- Role REQUIRED Husband Wife Head of Household Please fill out this field.

Offertory Options REQUIRED Send me information on Electronic Giving Send me information on Offertory Envelope Program Please contact me, I have questions Please fill out this field.

Offertory Support - Our Parish's Mission is to bring Jesus' Good News to those in the Reading Community and beyond. Your presence through worship and offertory support helps carry on our Mission.

As registered Parishioners, you will receive periodic emails informing you of parish-wide initiatives to keep you up-to-date with the happenings in our Faith Community. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact.

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Reading Catholic Community

Office: 184 Woburn St, Reading MA 01867
781.944.0490
Saint Agnes Parish | Saint Athanasius Parish

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