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.

General Information
Is this information:
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Family Name
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Family Address
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Mailing Address (if different)
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If different from Family Address
Primary Phone --
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Secondary Phone --
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Emergency Contact #
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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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Language Spoken at Home
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Time in the Parish
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Are You:
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Head of Household
Name
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Date of Birth //
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Gender
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Country
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Religion
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Date and Place of Sacraments You Have Received?
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Baptism, Communion, Confirmation
Mass Attendance
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Occupation
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Spouse
NOTE All fields are required if you are not single.
Name (Maiden)
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Date of Birth //
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Gender
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Country
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Religion
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Date & Place of Sacraments You Have Received
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Baptism, Communion, Confirmation
Mass Attendance
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Occupation
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Children Who Are Living With You
First Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Baptism, First Communion, Confirmation or None
Grade in School
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Allergies/Medical
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Permission to Photograph
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Second Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Baptism, First Communion, Confirmation or None
Grade in School
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Allergies/Medical
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Permission to Photograph
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Third Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Grade in School
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Allergies/Medical
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Permission to Photograph
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Fourth Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Grade in School
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Allergies/Medical
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Permission to Photograph
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Ministry Information
Please select any ministries you are interested in
Ministries
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Additional Notes or Comments
Text (Multiple Lines)
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