Religious_Ed_Form | Francis and Joseph

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Religious Education Registration Form

St. Joseph & St. Francis Xavier

Family Information

Name of Parent(s)*

Last Name*

Last, First, Middle Initial

Parish Registered

St Joseph

St Francis Xavier

Other

Mailing Address*

Mailing Address, City, State, ZIP

Primary Phone*

Secondary Phone

Email*

Child Information

The Child's Name*

Last, First, Middle

The Child's Birthday*

The Child's Place of Birth*

City, State

Do you have additional children to register?

St. Joseph Catholic Church

800 West Stanton St.,
Roseburg, OR 97471
541-673-5157

St. Francis Xavier Church

323 N Comstock Ave.,
Sutherlin, OR 97479
541-673-5157

Contact Us

Name*

Enter your email here*

Message:

Thanks for submitting!

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