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.

Home Address
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Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Is this information:
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Husband Information
Name of Husband
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Religion
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Birth Date //
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Baptized?
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If yes, was it at our church?
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First Reconciliation?
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If yes, was it at our church?
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First Communion?
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If yes, was it at our church?
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Confirmation?
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If yes, was it at our church?
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Wife Information
Name of Wife
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Maiden Name
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Religion
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Birth Date //
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Baptized?
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If yes, was it at our church?
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First Reconciliation?
  •  
If yes, was it at our church?
  •  
First Communion?
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If yes, was it at our church?
  •  
Confirmation?
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If yes, was it at our church?
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Child 1
Name of Child 1
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Religion
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Birth Date //
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Baptized?
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If yes, was it at our church?
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First Reconciliation?
  •  
If yes, was it at our church?
  •  
First Communion?
  •  
If yes, was it at our church?
  •  
Confirmation?
  •  
If yes, was it at our church?
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Other Children
Please list names and birth dates of other children plus information on any Sacraments that they have received.
Text (Multiple Lines)
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Marriage
Marital Status
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Date of Marriage //
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Church & City of Marriage
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