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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.

Personal Information
Name
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Family Name (Last Name Only)
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Home Phone --
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Cell 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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Address
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Personal Information
Registrant Birthdate //
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Religion
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Mass Attendance (Regularly, Seldom, Never)
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Occupation
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Baptism
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Baptism Date and Place
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First Communion
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First Communion Date & Place
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Confirmation
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Confirmation Date & Place
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Married (Church, City, State)
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Date of Marriage //
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Marital Status
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Maiden Name
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Marriage recognized by Church?
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Spouse Name
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Spouse Birthdate //
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Spouse Religion
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Spouse Mass Attendance
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Spouse Occupation
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Spouse Baptism
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Spouse Baptism Date and Place
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Spouse First Communion
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Spouse First Communion Date & Place
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Spouse Confirmation
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Spouse Confirmation Date & Place
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Do you wish to discuss any matter with a priest?
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Does anyone in your household wish to become Catholic?
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Does anyone in your household need sacraments because of illness or handicap?
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Do you wish to receive monthly envelopes?
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Do you wish to have your marriage blessed?
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Children
List below unmarried children and/or anyone else living in your home
Name
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Birthday //
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Grade
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Attends CCD
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Baptism
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Baptism Date & Place
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First Communion
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First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
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Name
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Birthday //
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Grade
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Attends CCD
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Baptism
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Baptism Date & Place
  •  
First Communion
  •  
First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
  •  
Name
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Birthday //
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Grade
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Attends CCD
  •  
Baptism
  •  
Baptism Date & Place
  •  
First Communion
  •  
First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
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