1. Personal Information

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“Now, therefore, you are no longer strangers and foreigners, but fellow citizens with the saints and members of the household of God” Eph 2:19

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“Now, therefore, you are no longer strangers and foreigners, but fellow citizens with the saints and members of the household of God” Eph 2:19
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St. Mary Coptic Orthodox Church
Congregation Registry Form for Year 2009

Registration is for Saint Mary Church's Congregation only. Please type all information. The form must be completed in every detail. Answer “N/A” for all items that do not apply to you.

Note: * = This is a required field

Number of Members in your Household (including yourself):

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* 1. Number of Members in your Household (including yourself):

Head of Household/or Youth Living Independently:

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* 2. Head of Household/or Youth Living Independently:

Permanent Address:

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* 3. Permanent Address:

Phone Information:

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* 4. Phone Information:

Cell Phone Provider (will be used for text messaging)

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* 5. Cell Phone Provider (will be used for text messaging)

E-mail address:

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* 6. E-mail address:

Occupation::

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* 7. Occupation::

Date of Birth:

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* 8. Date of Birth:

Place of Birth:

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* 9. Place of Birth:

If Born Outside the U.S.A, Date of Immigration to the USA:

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* 10. If Born Outside the U.S.A, Date of Immigration to the USA:

Previous Church attended in Egypt & in the USA (name of church & city/state) :

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* 11. Previous Church attended in Egypt & in the USA (name of church & city/state) :

Date Joined St. Mary Church of East Brunswick:

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* 12. Date Joined St. Mary Church of East Brunswick:

Are You Currently a Member of any other Church Besides this Church?

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* 13. Are You Currently a Member of any other Church Besides this Church?

If Yes, How Often do you Attend Services in this Church?

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* 14. If Yes, How Often do you Attend Services in this Church?

Father of Confession:

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* 15. Father of Confession:

Marital Status:

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* 16. Marital Status:

Which liturgy does your family attend? (check all applies):

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* 17. Which liturgy does your family attend? (check all applies):

Visitation availability (check all applies):

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* 18. Visitation availability (check all applies):

Do you receive the Church mail?:

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* 19. Do you receive the Church mail?:

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