Parish Registration

Thanks 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.

Family Information
Select the appropriate salutation
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Head of Household Full Name
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Date of Birth //
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Occupation / Location
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Head of Household Sacrament Information
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Home Address
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Email Address
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Alternative Email Address
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Primary Phone --
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Secondary Phone --
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Spouse's Full Name
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Spouse's Date of Birth //
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Spouse's Occupation / Location
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Spouse's Sacrament Information
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Please let us know your preference
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Children
Child's Full Name (1)
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Date of Birth (1) //
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Grade (1)
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Child (1) Sacrament Information
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Child's Full Name (2)
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Date of Birth (2) //
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Grade (2)
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Child (2) Sacrament Information
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Child's Full Name (3)
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Date of Birth (3) //
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Grade (3)
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Child (3) Sacrament Information
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Child's Full Name (4)
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Date of Birth (4) //
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Grade (4)
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Child (4) Sacrament Information
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Ministries
Please let us know what ministries you and your family are interested in:
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Additional Ministries You Are Interested In:
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How would you like to support our parish?
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Do you wish to receive "The Catholic Miscellany" Diocesan Magazine?
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 If yes, please be aware that the church will be charged for your subscription.
Parish Registration #: __________; Entered in PDS: __________; Bulletin/Letter: __________
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