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.

Family Information
Head of Household
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Spouse (if applicable)
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First and Last Name(s) of Other Adult(s) in Household
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Home 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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Is this information:
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Child 1 in Household
Name
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Birthdate //
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Gender
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Name of School
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Grade
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Sacraments Completed
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Child 2 in Household
Name
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Birthdate //
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Gender
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Name of School
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Grade
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Sacraments Completed
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Additional Information
List additional children or other information requests to the parish administration.
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