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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First name, Middle name, (maiden name if applicable)
Religious denomination: (ie Roman Catholic, Lutheran, Jewish)
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Spouse
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First name, Middle name, (maiden name if applicable)
Religious denomination: (ie Roman Catholic, Lutheran, Jewish)
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Home Address
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Primary Phone --
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Child(ren) in Household
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First, middle, and last name, date of birth.
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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For security purposes, please enter the text that appears in the box below.
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