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.

Personal Information
Name
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Date of Birth //
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Home Address
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Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Sacraments Recevied in Catholic Church (Check all that apply)
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Family Information
Marital Status (Choose One)
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Spouse's Name (if applicable)
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Date of Birth //
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Spouses Sacraments Received in Catholic Church
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Children Living at Home
if children are over 21, they must register separately, even if they still live in the same household.
Child's Name
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Date of Birth //
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Sacraments Child Recieved
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Child's Name
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Date //
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Sacraments Child Received
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Child's Name
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Date of Birth //
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Sacraments Child Received
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This information is:
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