St. Theresa Parish

P.O. Box 729

Henniker, NH  03242-0729

 

St. Theresa Church

 

Please complete the following information to ensure receipt of parish mailings and important information.  You may be asked to complete additional information at a later time.

 

Family Last Name	Home Phone	Today's Date

 

	Mailing Address
Street
PO Box (if applicable)
City/Town, State, Zip-Code

Family Members

	Name, First and Middle	Date of Birth
Head of Household:
Spouse:
Child/Other Member:
Child/Other Member:
Child/Other Member:
Child/Other Member:

 

Additional Information

 

Would you like to receive contribution envelopes?     ‘ Yes    ‘ No

 

Would you like to receive a list of volunteer opportunities in the Parish Community?     ‘ Yes     ‘ No

 

Is there anything you would like to share regarding you or your family?  ___________________

 

Thank you for taking the time to complete this information.