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Parish Registration

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  - Contact Us / Directions
  - Parish Registration

Please use this form for Parish Registration. The information entered here will be forwarded in an email to the parish office.
The maximum number of form submissions has been reached. This form is currently not available.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Zip REQUIRED Please fill out this field. Please enter an integer (number).
- Street Address (if different from above) Please enter valid data.
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Head of Household
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
  
  Are your children registered in the parish Religious Education Program?
  
  If you answered No, why? REQUIRED Please fill out this field.
- Spouse [if any]
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Date of Marriage Please enter valid data.
  
  Occupation Please enter valid data.
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Ministries and Activities in which you would be interested in participating as a volunteer:
  
  Pastoral Ministries
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