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Online Parish Registration Form
Saint Brigid Catholic Church
3400 Old Alabama Rd.
Johns Creek, GA 30022
678-393-0060


** Please note**
This form can only accommodate (6) family members or less.
If more family members, you will need to complete our paper registration form.
Thank you for registering with us!

Registration Type *
Title (Registrant) *
First Name (Registrant) *
Your answer
Middle Initial *
If no middle initial, please type 'none'
Your answer
Last Name *
Your answer
Goes by (preferred name) *
Your answer
Street Address *
Your answer
Apt. #
Your answer
City *
Your answer
State *
Zip/Postal Code *
Your answer
Subdivision
Your answer
Primary contact phone: *
Please enter in this format: xxx-xxx-xxxx
Your answer
Cell # - (Registrant)
Please enter in this format: xxx-xxx-xxxx
Your answer
Email
Your answer
Birth Date *
Month/Day/Year (Ex: 02/05/1960)
Your answer
Secondary Language
Your answer
Occupation
Your answer
Employer Name
Your answer
Work Phone
Please enter in this format: xxx-xxx-xxxx
Your answer
Previous Parish Of Registration *
Please include city and state/If no previous parish, please type 'None'
Your answer
Do you wish to receive the Archdiocesan newspaper? (The Georgia Bulletin) *
Publish Contact Information? *
i.e. photo directory
Gender *
Religion *
Emergency Contact Name *
Please list someone not living in your home
Your answer
Emergency Contact's Relationship to Registrant *
Your answer
Emergency Contact's Phone Number *
Please enter in this format: xxx-xxx-xxxx
Your answer
Marital Status *
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