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.

OUR PARISH CLUSTER
Please check the parish in which you wish to register:
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FAMILY INFORMATION
1. Name: (Adult)
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Maiden Name (If applicable)
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Date of Birth //
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Gender:
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Marital Status:
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Sacramental Info:
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Phone: --
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Email:
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2. Name: (Adult)
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Maiden Name (If applicable)
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Date of Birth //
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Gender:
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Marital Status:
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Sacramental Info:
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Phone: --
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E-mail:
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Home Address
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Secondary Phone --
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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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CHILDREN IN HOUSEHOLD
1. Child's Name
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Date of Birth //
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Gender:
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Sacramental Info:
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2. Child's Name
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Date of Birth //
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Gender:
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Sacramental Info:
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3. Child's Name
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Date of Birth //
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Gender:
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Sacramental Info:
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4. Child's Name
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Date of Birth //
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Gender:
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Sacramental Info:
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Is this information:
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HOUSEHOLD INTENTION
I/We prefer to make our contributions to support the Parish with:
Giving to our Parish:
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For security purposes, please enter the text that appears in the box below.
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