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.

Head of Household
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Date of birth //
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Sacraments recieved
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Please check all that apply
Date of Marriage - if applicable //
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Name of Spouse - if applicable or second Adult
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Date of birth //
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Sacraments received
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Complete Name(s) of Other Adult(s) in Household
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Please add date(s) of birth by each
Name of Child 1
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Date of birth //
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Sacraments received
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Name of Child 2
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Date of birth //
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Sacraments received
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Additional Children and Dates of birth and Sacraments received
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Please add which sacraments they have received - if applicable
Primary Family Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Home Address
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Previous Address
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Previous Parish of Registration - Parish name
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Previous Parish of Registration address
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Parish Support Options
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Other Preferred Means of Communication? Please list here.
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This information is:
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