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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Date of Birth //
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Religion
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Name of Spouse
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Date of Birth //
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Religion
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Date of Marriage //
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Place of Marriage
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Child(ren) in Household
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Please list all children by First - Middle - Last name, their Date of Birth and gender.
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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Is there anyone in your home who is homebound, and would like him/her to be brought Holy Communion?
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If yes, we will contact your to make arrangements.
Would you like to receive envelopes?
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Would you like to sign up for our Offertory Commitment Program?
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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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