Change of Address / Name /Marital Status Form

Please notify the parish office just as you do the paperboy, utility companies, and the bank, etc. If an emergency ever arises and a priest is needed, we need accurate addresses and phone numbers. Also couples getting married and remaining in the parish boundaries should register as a family with their new address.
Thank you for your cooperation!
Please check all that apply:

Change in Address    Change in Name    Change in Marital Status  
Change in Parish (if parish please enter new parish name):

Title: First Name: Middle Initial: Last Name:

Former Name (if applicable):

Please fill out only those fields below that has changed:

Single      Married

Address:

City:   State:   Zip Code:

Home Phone (e.g. 3175464065):   Work Phone:

Fax Phone:   Other Phone:

Birthday: E-mail:

Employer Name:

If married, please fill in the rest of the fields, otherwise hit the submit button.

Spouse Name:   Spouse Work Phone:

Spouse Birthday: Wedding Anniversary:

Children's Names:

  

HOME  |  YOUTH  |  SCHOOL  | CONTACT | LINKS

Copyright © 2002 St. Lawrence Catholic Church All rights reserved.