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Parish Registration
Complete the Parish Census Form to become a registered member of our parish. You will receive a confirmation once it is processed.
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* Indicates required question
Family Name
*
Last Name
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone number
*
Your answer
Email Address
*
Your answer
Would you like Contribution Envelopes?
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Choose
Yes
No
ADULT FAMILY MEMBER INFORMATION
Family Member 1 First and Last Name
*
Your answer
Family Member 1 Date of Birth
*
MM
/
DD
/
YYYY
Family Member 1 Role
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Choose
Head of House (Single Adult)
Husband
Wife
Family Member 1 Sacramental Information
*
YES
NO
Baptized
Reconciliation and Communion
Confirmation
YES
NO
Baptized
Reconciliation and Communion
Confirmation
Family Member 1 Marital Status
*
Choose
Single
Married
Divorced
Widowed
If married, date of marriage
MM
/
DD
/
YYYY
Maiden Name
Your answer
Family Member 2 First and Last Name
Your answer
Family Member 2 Date of Birth
Your answer
Family Member 2 Role
Choose
Head of House (Single Adult)
Husband
Wife
Family Member 2 Sacramental Information
YES
NO
Baptized
Reconciliation and Communion
Confirmation
YES
NO
Baptized
Reconciliation and Communion
Confirmation
Clear selection
Family Member 2 Marital Status
Choose
Single
Married
Divorced
Widowed
If married, date of marriage
MM
/
DD
/
YYYY
Maiden Name (if applicable)
Your answer
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