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.

Parishioner #1
Name
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Male / Female
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Date of Birth //
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Cell Phone Number --
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Work Phone Number --
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Occupation
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Email Address
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Maiden Name (if applicable)
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Religion
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Parishioner #2
Name
  •  
Male / Female
  •  
Date of Birth //
  •  
Cell Phone Number --
  •  
Work Phone Number --
  •  
Occupation
  •  
Email Address
  •  
Maiden Name (if applicable)
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Religion
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Family Information
Address
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Mailing Address if different than above
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Household Phone Number --
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Date of Marriage (if applicable) //
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Church Marriage
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Name of the Church you were married in
Address of Church Married (Town and State)
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For security purposes, please enter the text that appears in the box below.
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