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.

Name
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Spouse Name (if married)
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First and Last Name(s) of Other Adult(s) in Household and Date of Birth
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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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Home Address
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Other Preferred Means of Communication? Please list here.
  •  
Date of Birth //
  •  
Spouse Date of Birth //
  •  
  •  
Check one
  •  
List (Single Choice)
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CHILD OR CHILDREN
Name of Child
  •  
Date of Birth //
  •  
Date of Baptism //
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Name of 2nd Child
  •  
Date of Birth //
  •  
Date of Baptism //
  •  
Name of 3rd Child
  •  
Date of Birth //
  •  
Date of Baptism //
  •  
Name of 4th Child
  •  
Date of Birth //
  •  
Date of Baptism //
  •  
 
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