Parish Registration Form

PARISH REGISTRATION FORM

Please fill out this form and click "Submit"

* Indicates required field

Date of Registration/Data wptsu do Parafil *

Family Name/Nazwisko *

Address/Adres *

Phone numbers *

Marital Status *

Single Married Separated

Husband's full name/pełne nazwisko męża *

Date and Place of Birth/data i miejsce urodzenia *

Wife's full name/pełne nazwisko żony *

Wife's Maiden Name/nazwisko panienskie *

Children/ dzieci

Date and Place of Birth/data i miejsce urodzenia *

1. Name *

Date & Place of Birth *

School *

2. Name *

Date & Place of Birth *

School *

3. Name *

Date & Place of Birth *

School *

Submit