Parish Registration

Welcome and thank you for taking a moment to register your household's information with our Parish.  Please fill out the form as completely as possible and then click submit.

Parish Registration Form
Family Name:
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Home Phone --
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Envelope Number
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Register me for:
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Home Address
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Name of the Head of Household
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Gender
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Date of birth //
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Religion
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Cell Phone Number for the Head of Household --
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Email Address
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Marital Status
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Sacramental Information
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Spouse Name
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Maiden Name
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Gender
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Date of birth //
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Religion
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Cell Phone Number for the Spouse --
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Email Address
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Marital Status
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Sacramental Information
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Dependent Children in Household
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Please provide the date of birth, gender, and sacraments (i.e. Baptized, Reconciliation, 1st Eucharist, and Confirmed) of the child
First and Last Name(s) of Other Adult(s) in Household
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Other Preferred Means of Communication? Please list here.
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Is this information:
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