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.

Date //
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Envelope Number
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Seasonal Member Only
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If Seasonal, What Months?
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Church Most Attended
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Usual Mass Times
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Name
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Gender
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Date of Birth
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Address
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Phone --
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Phone --
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Phone --
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Occupation
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Religion
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Family E-mail
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Spouse's Information
Marital Status
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Date of Marriage //
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Place of Marriage
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Spouse's Name
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Spouse's Date of Birth //
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Spouse's Religion
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Spouse's Occupation
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Children's Information
Child's Name
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Date of Birth //
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Religion
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Grade
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School Attending
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Date & Place of Baptism
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Date & Place of First Communion
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Date & Place of Confirmation
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Children's Information
Child's Name
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Date of Birth //
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Religion
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Grade
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School Attending
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Date & Place of Baptism
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Date & Place of First Communion
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Date & Place of Confirmation
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Name & Relation of others in Household:
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Name & Place of Prior Parish:
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Children in need of Religious Education:
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Gifts/ Talents/ Ministries:
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