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 Name
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Is this information:
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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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Marital Status
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If currently or formerly married, please check one:
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Previous Parish Name, Location (City, State)
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Primary Language
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Other Preferred Means of Communication? Please list here.
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Adults in Household
Adult 1
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Last (if different)
Religion
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Date of Birth //
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Sacraments
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Gender
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Adult 2
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Last (if different)
Religion
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Date of Birth //
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Sacraments
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Gender
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Adult 3
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Last (if different)
Religion
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Date of Birth //
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Sacraments
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Gender
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Dependent Children
Child 1
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Last (if different)
Religion
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Date of Birth //
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Sacraments
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Gender
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Child 2
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Last (if different)
Religion
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Date of Birth //
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Sacraments
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Gender
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Child 3
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Last (if different)
Religion
  •  
Date of Birth //
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Sacraments
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Gender
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Child 4
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Religion
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Date of Birth //
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Sacraments
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Gender
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Child 5
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Religion
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Date of Birth //
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Sacraments
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Gender
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Contributions
Would you like to make contributions via online giving?
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(If yes, you can sign up on our website. Link located on the home page.)
If you would like to receive church envelopes, please check box below:
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Stewardship of Time, Talent and Treasure
A description of these ministries, programs, and classes is provided on our website and through our welcome packet, or through the church office. In thanksgiving to God and after prayerful considerations, I/we are interested in learning more about the following ministries. (Please check the appropriate boxes.)
Liturgical Ministries
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Community Life/Service
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Faith Formation
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Other
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Online Giving

Online Giving

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