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.

Head of Household
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Title for Correspondence
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Sex
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Marital Status
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Maiden Name (if applicable)
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Date of Birth //
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Religion
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Sacraments Received
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Occupation
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Spouse (If applicable)
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Sex
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Marital Status
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Date of Birth //
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Religion
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Sacraments Received
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Occupation
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Maiden Name
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Secondary Phone -- ext
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Email Address
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Alternative Email Address
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Home Address
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Primary Phone -- ext
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First and Last Name(s) of Other Adult(s) in Household
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Include, DOB, Religion, Sacraments Received
First and Last Names of Child(ren) in Household
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Include DOB, Religion, Sacraments Received
Other Preferred Means of Communication? Please list here.
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Is this information:
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