Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Head of Household
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Home Address
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Primary Phone --
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Secondary Phone --
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Email Address
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Occupation
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Birthdate //
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Sacraments
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Please check off any Sacrament(s) you have received.
Name of Spouse (If Applicable)
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Birthdate Spouse //
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Phone --
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Occupation
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Sacraments
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Please check off any Sacrament(s) you have received.
Children / Additional Family Members
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Please list the following for each additional family member: 1. Name 2. Birth Date 3. Gender 4. Grade & School 5. Sacraments Received
Other Preferred Means of Communication? Please list here.
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Is this information:
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For security purposes, please enter the text that appears in the box below.
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