1. Last Name *

2. First Name *

3. Date of Birth

4. Home Address

5. Sex

• Male
• Female

6. Phone Number *

7. Email *

8. Baptism Date

9. Church

10. City / State

11. 1st Communion Date

12. Church

13. City / State

14. Confirmation Date

15. Church

16. City / State

17. Parents' Names (Provide mother's maiden name)

18. Occupation

19. Talents

20. Hobbies

21. Are you married?

• Yes
• No
• Single

.

• Divorced
• Widow
• Widower

22. Are you married in the Catholic Church?

• Yes
• No

23. Spouse's Information - Last Name *

24. First Name *

25. Date of Birth

26. Phone Number *

27. Email *

28. Baptism Date

29. Church

30. City / State

31. 1st Communion Date

32. Church

33. City / State

34. 1st Communion Date

35. Church

36. City / State

37. Parents' Names (Provide mother's maiden name)

38. Occupation

39. Talents

40. Hobbies

41. Please list the name & date of birth of all your children.

First

Last

Date of Birth

First

Last

First

Last

First

Last

First

Last

42. How Long have you been attending Mass at STA?

First

Last

43. Mass Regularly Attended:

• 5:30 P.M. (Sat. English)
• 8:00 A.M. (Sun. English)
• 11:30 A.M. (Sun. English)

.

• 9:30 A.M. (Sun. Chinese)
• 1:30 P.M. (Sun. Spanish)

44. Would you like to receive in the mail the envelopes for contributions to STA?

• Yes
• No

If you have been receiving the contribution envelopes, what is your envelope number?

In what way may St. Thomas Aquinas community help you?

Email

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