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.

Household Name
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Marital Status
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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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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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Envelope Number
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Individual Member Information
Parish Status
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Role
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Name of Husband
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Catholic?
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Date of Birth //
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E-mail
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Name of Wife
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Catholic?
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Date of Birth //
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E-mail
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First and Last Name(s) of Other Adult(s) in Household
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First and Last Names of Child(ren) in Household
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Phone -- ext
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First Language
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Sacramental Information
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Sacramental Information
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Sacramental Information
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