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.

Would you like to be a Registered Parishioner?
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If you would like to be a Registered Parishioner, please fill out the entire form. If you would like to receive bi-weekly Newsletters only, please fill out only the required areas *
Head of Household
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Spouse
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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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Name of other adult in the household
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Identify everyone residing in this household
Relationship (Son, daughter, sister, brother, mother, father, etc.)
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E-mail
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Name of other adult in the household
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Relationship (Son, daughter, sister, brother, mother, father, etc.)
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E-mail
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Name of child in the household
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Name of child in the household
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Name of child in the household
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Name of child in the household
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Is this information:
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