Parish Registration

New Parishioner Registration Form

Complete information below and submit or click here to print out and bring to office.

: Family Information
Last Name
Street Address
City
State
Zip

: Family Members Information
: Family Member #1
#1 First and Middle Name
#1 Birthdate
#1 Religion
#1 Marital Status
#1 Email
#1 Cell Phone
#1 Baptism
#1 1st Eucharist
#1 Confirmation
: Family Member #2
#2 First and Middle Name
#2 Birthdate
#2 Religion
#2 Marital Status
#2 Email
#2 Cell Phone
#2 Baptism
#2 1st Eucharist
#2 Confirmation
: Children (if applies)
: Please List All Children Below
First and Middle Name - DOB - Baptism - 1st Eucharist - Confirmation (Y or N)

Example:
Anna Marie - 01/01/2014 - Y-Y-Y
John Edwin - 12/12/2019 - Y-N-N
Children
Receive Offertory Envelopes?: YesNo

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