Parishioner Registration and/or Change of Information

Include All Information that is Required, New or Changed

Thanks for taking the time to register your household with our parish or to update your household information.  Please complete the form and click submit.

Is This Information...
Select One
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Head of Household
Name
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Preferred Title
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Address
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Sex
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Maiden Name (if applicable)
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Marital Status
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Date of Birth //
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Religion
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Primary Phone Number -- ext
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Secondary Phone Number -- ext
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E-mail
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Sacraments Received
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Spouse (if applicable)
Name
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Address (if different from Head of Household)
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Sex
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Maiden Name (if applicable)
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Date of Birth //
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Marital Status
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Religion
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Primary Phone Number -- ext
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Secondary Phone Number -- ext
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E-mail
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Sacraments Received
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Children & Other Adults Not Registered Separately
List Others In Residence At Same Address
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Please include Names, DOB, Sex, and Sacraments Received
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