Parishioner

First Name(s)

Last Name

Last Name at Birth

Date of Birth (DD/MM/YYYY)

Gender GenderMaleFemale

Nationality

Occupation

Address

Street Name

House Number

Post Code

City

Residence ResidencePermanent residence in NLTemporary residence in NL

Email address

Phone number

Mobile number

Volunteer Opportunities

I am interested in joining a Volunteer Group in the parish/am a member of a Volunteer Group, please choose from the following list. You can choose more than 1 group. I am interested in joining a Volunteer Group in the parish/am a member of a Volunteer Group, please choose from the following list. You can choose more than 1 group. African Community Group Altar Servers Children's Liturgy Choirs/Musicians Christian Meditation Church Cleaning Group Eucharistic Ministers Flower Team Hospitality Team Justice & Peace Maintenance Group Lectors Meals for the Homeless, The Hague Sacristans Soup Kitchen, Rotterdam Social Events Group Ushers Welcome Desk Youth Group

Partner's Information

First Name(s)

Last Name (at Birth)

Gender GenderMaleFemale

Date of Birth (DD/MM/YYYY)

Nationality

Do you wish to also register a partner as parishioner? Do you wish to also register a partner as parishioner? yes no

E-mail

Mobile Number

Occupation

My partner is interested in joining a Volunteer Group in the parish/is a member of a Volunteer Group, please choose from the following list. You can choose more than 1 group. My partner is interested in joining a Volunteer Group in the parish/is a member of a Volunteer Group, please choose from the following list. You can choose more than 1 group. African Community Group Altar Servers Children's Liturgy Christian Meditation Choirs/Musicians Church Cleaning Group Eucharistic Ministers Flower Team Hospitality Team Justice & Peace Lectors Maintenance Group Meals for the Homeless, The Hague Sacristans Soup Kitchen, Rotterdam Social Events Group Ushers Welcome Desk Youth Group

Details of First Child

First Name(s)

Last Name

Gender GenderMaleFemale

Date of Birth (DD/MM/YYYY)

Details of Second Child

First Name(s)

Last Name

Gender GenderMaleFemale

Date of Birth (DD/MM/YYYY)

Details of Third Child

First Name(s)

Last Name

Gender GenderMaleFemale

Date of Birth (DD/MM/YYYY)

Details of Fourth Child

First Name(s)

Last Name

Gender GenderMaleFemale

Date of Birth (DD/MM/YYYY)

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