Parish Photo Directory Submission Form

St. Philip Catholic Church

Parish Photo Directory Submission Form

Thank you for participating in the Parish Photo Directory. Please note that if you submit both this form and a family photo you are stating that you wish to appear in the directory.
To ensure that we can correctly match your photo with your family, and to aid us in maintaining our parish records, we ask that you fill out this form as completely as possible. After completing the form save it with your family name and the year (e.g. “Smith-2017.doc”). Submit this form with a recent photo of your family (taken within 6 months). Every person included in this form should be present in the photo and vice-versa. Email both this form and the photo to:
(Every entry in the directory includes the family names, family photo, address, primary phone and primary email.)
☐ Please do NOT include my address in the directory
☐ Please do NOT include my primary phone in the directory
☐ Please do NOT include my primary email in the directory
Today’s Date / Envelope Number (if known)
Click here to enter a date. / Click here to enter text.
Family name / Primary Phone / Secondary Phone
Click here to enter text. / Click here to enter text. / Click here to enter text.
Address / City / State
Click here to enter text. / Click here to enter text. / Click here to enter text.
Zip Code / Primary Email / Secondary Email
Click here to enter text. / Click here to enter text.
Head(s) of Household / Birth Date / Religion / Gender / Marital Status / Catholic Baptism? / First
Comm? / Confir-mation?
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Children (and other members of your household who currently attend at Saint Philip)
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐
Click here to enter text. / Click here to enter a date. / Click here to enter text. / Choose an item. / Choose an item. / ☐ / ☐ / ☐