Parishioner Registration Form
Welcome to St. Josaphat Parish! By filling out this form, you give the Parish important information that we can use to send out valuable updates and notifications for Parish Events. It also makes it easier to participate in the Parish too, such as when you want to get married here, have a child baptized, or send a student to our School. We look forward to ministering to your needs here at St. Josaphat.
Head of Household Name (First, Middle & Last) *
Traditionally, the male, (if one exists in this household.) Otherwise, if you are married, your mail from us might read "Mrs. & Mr."
Your answer
Maiden Name (if applicable)
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Home Phone (if any)
Please format nnn-nnn-nnnn
Your answer
Head of Household Email Address *
Your answer
Head of Household Mobile Number *
Please format nnn-nnn-nnnn
Your answer
Head of Household Birthdate *
MM
/
DD
/
YYYY
Head of Household Occupation *
Your answer
Head of Household Gender *
Is the Head of Household Baptized? *
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