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.

Name
  •  
Birthday //
  •  
Name of Spouse (if applicable)
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Birthday //
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Primary Phone --
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Secondary Phone --
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Email Address
  •  
Alternative Email Address
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Home Address
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Child Name
  •  
Please register each child that lives within your household.
Birthday //
  •  
Child Name
  •  
Please register each child that lives within your household.
Birthday //
  •  
Child Name
  •  
Please register each child that lives within your household.
Birthday //
  •  
Child Name
  •  
Please register each child that lives within your household.
Birthday //
  •  
Child Name
  •  
Please register each child that lives within your household.
Birthday //
  •  
Is this information:
  •  
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