Saint Simon Stock Roman Catholic Community

St. Simon Stock Parish Family Registration

178 White Horse Pike, Berlin, NJ 08009 (856)-767-2563

Please be sure to fill in as much information as possible, particularly the appropriate "Yes" checkboxes.

Basic Information
Individual Member Information
Member 1 Member 2
Parish Status
Role (Head of House, Husband, Wife, etc.)
First Name/Nickname / /
Maiden Name
Gender
Date of Birth
(mm/dd/yyyy)
E-mail
Work Phone/Cell Phone / /
First Language
Occupation
Employer
Sacramental Info
Baptized
Catholic?
Catholic?
Reconciliation
First Eucharist
Confirmation
Marital Status
Valid Catholic Marriage?
Dependent Children Information

Dependent #1

Catholic?

Dependent #2

Catholic?

Dependent #3

Catholic?
Add Dependent