St. Patrick Parish Registration Form

                    Mr. _________________________   __________________________________
                                         First                                                                      Last

Mrs./ Miss/ Ms. _________________________    __________________________________
                                     First                                                                       Last

Address Mailings to:  _________________________________________

                                  _________________________________________

Address

Street: ____________________________________________________________________

City: _____________________________________  State: __________ Zip: ____________

Phone:__________________ Email: ____________________________________________

St. Patrick Parish only records donations made through the use of Sunday Envelopes. Would
you like to participate in the Sunday Envelope Program?

Please circle one:                  Yes                   No                     

Would you like to do volunteer work for St. Patrick Church or for an activity associated with the Church?

Please circle one:                  Yes                   No                     

Volunteer Task:  ____________________________________________________________

Registration Date: ______________

If you have any questions, please contact the Parish Office at 415-924-0600

Please Return this form to:          St. Patrick Parish
                                                    114 King Street
                                                    Larkspur, CA 94939

________________________________________________________________________
For Office use only

Envelope Number:_________________  Entered by: __________ Date: __________________

Home