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Blessed Sacrament Catholic Church

1003 East Victory Drive, Savannah GA 31405

( 912-356-6980 Fax 912-692-0010

www.mbschurch.org

Registration Form

Date: _________________

Family Last Name_____________________________________

Address: ________________________________ Home Phone: _______________________________

________________________________________ Email: ______________________________________

______________________________ Fax: ______________________________________

Best time/place to call: ____________AM/PM __________________

Circle all that apply:

Mass Preference: Sat 5:30pm / Sun 8:00am/ Sun 10:30 am

Reason for registration: ___Moved here recently from: ____________________Parish_________________

(check and answer) ___ Transferring from another local parish: (Name)_____________________________

___ Returning to Church after a period of absence

___ Interested in finding out more about the Catholic Church

___ Interested in placing children in Blessed Sacrament School

Title, First Name & M.I.____________________________ Date of Birth: ______________________

Catholic: Y / N If No, what denomination?___________ Marital Status: Single/Married/Widow/Divorced

Place of Employment: __________________Profession: _____________Daytime Phone: _______________

If married, please complete the following:

Spouse’s Title, First Name & MI __________________________ Date of Birth: __________________

Catholic: Y / N If No, what denomination?______________ Wedding Date: _____________________

Place of Employment: __________________Profession: _____________Daytime Phone: _______________

If children at home please complete the following:

Name

First Name

M.I.

Nick Name

Baptized Yes--No

Date of Birth

Confirmed Yes------No

Family Relationship

What information are you most interested about Blessed Sacrament Church at this time?

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