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!

Parish Registration Revision
Family Name:
  •  
Address
  •  
Phone -- ext
  •  
Secondary Phone -- ext
  •  
E-mail
  •  
Head of Family
Head of Family
  •  
Status:
  •  
Gender
  •  
Birth Date //
  •  
Religion:
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Baptized
  •  
First Communion
  •  
Confirmation
  •  
Spouse
Name
  •  
Maiden Name:
  •  
Status:
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
History
Married before a?
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Date //
  •  
Name of Church:
  •  
Address
  •  
Offertory Envelopes
Do You Want Offertory Envelopes?
  •  
Special Needs
Special Needs
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Child 1
Name
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Child 2
Name
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Child 3
Name
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Child 4
Name
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Child 5
Name
  •  
Gender
  •  
Birth Date //
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Religion:
  •  
Child 6
Name
  •  
Gender
  •  
Birth Date //
  •  
Religion:
  •  
Baptized:
  •  
First Communion:
  •  
Confirmation:
  •  
Special Notes
Special Instructions:
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