Sts. Raphael Nicholas and Irene Your Personal Data Form

Welcome!

Our parish has moved to a new software program that will enhance the communication
among our parishioners and within our many ministries. Please take a few minutes to
provide the most current information for your household. Please be assured that your
information is secure and will not be shared. Only the fields marked with an * are
required. Provide as much additional information as you wish. If you do not know your
family ID, please register as a new family.

Thank you for your participation!

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Click Submit Form to send this information to Sts. Raphael, Nicholas & Irene Greek Orthodox Mission.

*Required fields

*Family Option	New Family Information		Update Existing Family Information
			ID/Env:

Head of Household
Title		Suffix
*First Name		*Last Name
Middle Name		Nickname
Relationship		Maiden Name
Ethnicity		Birth Date
*Gender	Female Male	Grade/Degree
Language		Marital Status
Religion
Special Need
Occupation
Phone 1		( ) - Unlisted
Phone 2		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date	Place
Chrismation		Date	Place
Marriage		Date	Place
Ministries
Ministry 1		Interested in Joining
Ministry 2		Interested in Joining
Ministry 3		Interested in Joining
Ministry 4		Interested in Joining
Ministry 5		Interested in Joining
Talents
Talent 1		Interested in Joining
Talent 2		Interested in Joining
Talent 3		Interested in Joining
Talent 4		Interested in Joining
Talent 5		Interested in Joining
Remarks

Spouse
Title		Suffix
First Name		Last Name
Middle Name		Nickname
Relationship		Maiden Name
Ethnicity		Birth Date
Gender	Female Male	Grade/Degree
Language		Marital Status
Religion
Special Need
Occupation
Phone 1		( ) - Unlisted
Phone 2		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date	Place
Chrismation		Date	Place
Marriage		Date	Place
Ministries
Ministry 1		Interested in Joining
Ministry 2		Interested in Joining
Ministry 3		Interested in Joining
Ministry 4		Interested in Joining
Ministry 5		Interested in Joining
Talents
Talent 1		Interested in Joining
Talent 2		Interested in Joining
Talent 3		Interested in Joining
Talent 4		Interested in Joining
Talent 5		Interested in Joining
Remarks

Family Street Address
*Line 1
Line 2
*City
*State
*ZIP

Family Mailing Address
Line 1
Line 2
City
State
ZIP

Family Alternate Address
Line 1
Line 2
City
State
ZIP

Family Phone Numbers
	Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary		( ) - Unlisted
Other		( ) - Unlisted
Email
*Email		Unlisted
		Send Email Instead of Mail When Possible
Family Remarks
Remarks

Pledges
Pledge 1	Name	Stewardship
	Pledge for
	Start from	to
	Frequency
	Total
	Rate

Pledge 2	Name	Building Fund
	Pledge for
	Start from	to
	Frequency
	Total
	Rate

		Total All Pledges = $0.00

Member 1		Type
Title		Suffix
First Name		Last Name
Middle Name		Nickname
Relationship		Maiden Name
Ethnicity		Birth Date
Gender	Female Male	Grade/Degree
Language		Marital Status
Religion
Special Need
Occupation
Phone 1		( ) - Unlisted
Phone 2		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date	Place
Chrismation		Date	Place
Marriage		Date	Place
Ministries
Ministry 1		Interested in Joining
Ministry 2		Interested in Joining
Ministry 3		Interested in Joining

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Sts. Raphael, Nicholas & Irene Greek Orthodox Mission