Parish Registration
Please register here if new to our parish, or to update your information.
Family Last Name *
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Street Address *
Your answer
City *
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State *
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Zip *
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Email *
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Do you give permission to receive emails from the Church?
Home Phone
xxx-xxx-xxxx
Your answer
Cell Phone
xxx-xxx-xxxx
Your answer
Do you give permission to receive texts from the Church?
Father's Name
First and Last
Your answer
Father's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
Father's Sacraments Received
Mother's Name
First and Last
Your answer
Mother's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
Mother's Sacraments Received
1st Child's Name
First and Last Name
Your answer
1st Child's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
1st Child's School Grade Level
Your answer
1st Child's Sacraments Received
2nd Child's Name
First and Last Name
Your answer
2nd Child's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
2nd Child's School Grade Level
Your answer
2nd Child's Sacraments Received
3rd Child's Name
First and Last Name
Your answer
3rd Child's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
3rd Child's School Grade Level
Your answer
3rd Child's Sacraments Received
4th Child's Name
First and Last Name
Your answer
4th Child's Date of Birth
mm/dd/yyyy
MM
/
DD
/
YYYY
4th Child's School Grade Level
Your answer
4th Child's Sacraments Received
Ministries of Interest
Please select all ministries you would like more information on:
Comments - Suggestions?
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