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.

 

Or Download this printable form and drop off at the parish office. 

Family Name
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Home 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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Head of Household
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Single Male or Husband Name
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Date of Birth //
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Baptized Catholic?
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Country of Birth
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Ethnicity
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Occupation
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Single Female or Wife's Name
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Date of Birth //
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Baptized Catholic?
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Country of Birth
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Ethnicity
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Occupation
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Is this information:
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Other Preferred Means of Communication? Please list here.
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Language Spoke in Home
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Marital Status
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First and Last Name(s) of Other Adult(s) in Household
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First and Last Names of Child(ren) in Household
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List (Multiple Choice)
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 Please check below if you are interested in any of the following ministries:
Name of Childen in Residence
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Gender
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Date of Birth //
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Baptized Catholic?
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Name of Childen in Residence
  •  
Gender
  •  
Date of Birth //
  •  
Baptized Catholic?
  •  
Name of Childen in Residence
  •  
Gender
  •  
Date of Birth //
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Baptized Catholic?
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Names of Others living with the family
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Please include the following information
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