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