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. Additionally, we urge you to sign up for "My Own Church". This will give you the opportunity to ensure all your information is correct, register for Religious Education classes, and be able to review your contributions.

General Information
Is this information:
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Family Name
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Family Address
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Mailing Address (if different)
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If different from Family Address
Primary Phone --
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Secondary Phone --
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Emergency Contact #
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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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Language Spoken at Home
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Time in the Parish
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Are You:
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Head of Household
Name
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Date of Birth //
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Gender
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Country
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Religion
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Date and Place of Sacraments You Have Received?
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Baptism, Communion, Confirmation
Mass Attendance
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Occupation
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Spouse
NOTE All fields are required if you are not single.
Name (Maiden)
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Date of Birth //
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Gender
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Country
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Religion
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Date & Place of Sacraments You Have Received
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Baptism, Communion, Confirmation
Mass Attendance
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Occupation
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Children Who Are Living With You
First Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Baptism, First Communion, Confirmation or None
Grade in School
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Allergies/Medical
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Permission to Photograph
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Second Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Baptism, First Communion, Confirmation or None
Grade in School
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Allergies/Medical
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Permission to Photograph
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Third Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Grade in School
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Allergies/Medical
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Permission to Photograph
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Fourth Child (Name)
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Date of Birth //
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Place of Birth
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Date & Place of Sacraments Received
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Grade in School
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Allergies/Medical
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Permission to Photograph
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Ministry Information
Please select any ministries you are interested in
Ministries
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Additional Notes or Comments
Text (Multiple Lines)
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