Parishioner Registration
Thank you 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.
Last Name *
Your answer
First Name *
Your answer
Spouse - Last Name
Your answer
Spouse - First Name
Your answer
First & Last Names of other Adults in household
Your answer
Please list the first & last Names of child(ren) in household. Include date of birth (example: Joe Smith 10/11/12, John Smith 12/10/11)
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Email Address
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Other preferred methods of communication?
Your answer
Which Parish would you like to register for? *
Members are expected to make regular financial contributions in addition to contributions of time and talent. How would you like to make membership contributions? *
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