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.

Preferred Parish:
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Name of Head of Household
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Birth Date of Head of Household //
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Name of Spouse
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Birth Date of Spouse //
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First and Last Name(s) of Other Adult(s) in Household
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First and Last Names of Child(ren) in Household
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Ages (optional but preferred)
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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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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Contact about Online Giving?
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