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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Date of Birth //
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Spouse
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Date of Birth //
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Name & Date of Birth of Other Adult(s) in Household
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Name of Child #1
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Date of Birth //
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Name of Child #2
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Date of Birth //
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Name of Child #3
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Date of Birth //
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Name of Child #4
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Date of Birth //
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Name of Child #5
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Date of Birth //
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Primary Phone -- ext
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Secondary Phone --
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Email Address
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Alternative Email Address
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Home Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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Weekly Contribution Envelopes
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Do you wish to receive weekly contribution envelopes
For security purposes, please enter the text that appears in the box below.
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