Saint Rita New Parishioner Registration Form
Please fill out the form below to become a new parishioner at Saint Rita Catholic Church. We look forward to having you join our Parish family! 

Email *
Family Last Name: *
Home Address:
City, State, Zip Code
 *
Mailing Address:  *
Primary Phone Number: *
Head of Household #1 
First Name
 *
Middle Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Cell Number *
Email Address *
Religion: *
Sacraments Received  *
Required
Baptismal Anniversary
MM
/
DD
/
YYYY
Occupation / Industry *
Head of Household #2
First Name
 *
Middle Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Cell Number *
Email Address *
Religion *
Sacraments Received  *
Required
Baptismal Anniversary
MM
/
DD
/
YYYY
Occupation / Industry *
Mass Time Preference? Choose all that apply *
Required
Do you have any dependents?
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