New Parishioner 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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Date of Birth //
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Name of Spouse
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Date of Birth //
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Were you married in the Catholic Church?
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Date of Marriage //
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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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Other Preferred Means of Communication? Please list here.
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First and Last Name(s) of Other Adult(s) in Household
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Is this information:
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Child(ren) in Household
Please indicate Last Name if different from Family Name.
Name
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Date of Birth //
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Date of Baptism  
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Date of First Communion  
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Religious Education
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Are you interested in registering your child for Religious Education
Name
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Date of Birth //
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Date of Baptism  
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Date of First Communion  
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Religious Education
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Are you interested in registering your child for Religious Education
Name
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Date of Birth //
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Date of Baptism  
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Date of First Communion  
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Religious Education
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Are you interested in registering your child for Religious Education
Name
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Date of Birth //
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Date of Baptism  
  •  
Date of First Communion  
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Religious Education
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Are you interested in registering your child for Religious Education
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