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CONFRATERNITY OF CHRISTIAN DOCTRINE (CCD) REGSITRATION CARD
DATA REQUIRED BY PRIVACY ACT OF 1974 Authority: Title 44, USC 3103 Principle Purpose: To furnish chaplains information to further service the congregation Routine Uses: Used as a source from which to draw assistance in various categories Disclosure: Disclosure of information is voluntary. Nondisclosure will result in individual not being enrolled and therefore non entitlement to service.
Child's Name (Last, First, Middle)
Family's Name (Father's Name Mother's Name)
Complete Mailing Address
Work Phone Number
Home Phone Number
School Grade (Entering)
Age:
Birthday
Last CCD Grade Completed
Location
Address
FD FORM 1206 (REV) 1 MAY 96 PREVIOUS EDITIONS ARE OBSOLETE
ANSWER IF APPLICABLE
BAPTISMAL YES
BAPTISMAL NO
CONFIRMATION YES
CONFIRMATION NO
FIRST COMMUNION YES
FIRST COMMUNION NO
PENANCE YES
PENANCE NO
SPONSOR'S STATUS
ACTIVE DUTY
RETIRED MILITARY
FORT DETRICK FEDERAL EMPLOYEE
FORT DETRICK CONTRACTOR
Sponsor's Phone Number
Sponsor's Duty Address
Date
Email Address
All Rights Reserved : Fort Detrick Holy Family Catholic Community
Fort Detrick Holy Family Catholic Community
May The Holy Family Bless You Always!