Family Registration | St Timothy Parish

Date of Registration

Father's First Name

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Mother's First Name

Family Last name

Mailing Address

Main Email Address (All correspondence will be sent out by email).

Secondary Email

Phone

Additional Phone

Child's Name

Child's Birth Date

Child's Name

Child's Birth Date

Child's Name

Child's Birth Date

Occassionally we take photographs of the children to be used in parish publications such as the church bulletin (which can be accessed online).

I authorize the Parish of St. Timothy to include photographs of my child(ren) in parish publications.

I do not authorize the Parish of St. Timothy to include photographs of my child(ren) in parish publications.

Parent Signature

Date of Signature

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