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 ].

General Information
Family Name
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Home Address
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Primary Phone --
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Secondary Phone --
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Primary Email Address
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Secondary Email Address
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Date of Registration //
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Head of Household
Head of Household
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Birth Date //
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Religion
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If "Other" Please Describe
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Baptism
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First Communion
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Confirmation
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Place of Employment
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Occupation
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Spouse
Name of Spouse
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Birth Date //
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Religion
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If "Other" Please Describe
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Baptism
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First Communion
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Confirmation
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Place of Employment
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Occupation
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Marital Status
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Date Married //
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Where Married
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Maiden Name
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Child/Other in Household
Instructions Please fill out each field in this format: Child Name, Gender, Birth Date, Baptism, First Communion, Confirmation, School or Employer, Grade
Example John Smith, Male, 3/17/2003, Catholic, Yes, Yes, No, St. Paul Catholic High School, 10
Child/Other in Household
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Child/Other in Household
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Child/Other in Household
  •  
Child/Other in Household
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Child/Other in Household
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  •  
 
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