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PARISH REGISTRATION FORM

Required

Must contain a date in M/D/YYYY format
Must contain a date in M/D/YYYY format
Namerequired
First Name
Middle (optional)
Last Name
(xxx)-xxx-xxxx (Must contain only numbers)
Primary number
(xxx)-xxx-xxxx (Must contain only numbers)
Alternate number
Sacraments received:
Baptism
Must contain a date in M/D/YYYY format
Communion
Must contain a date in M/D/YYYY format
Confirmation
Must contain a date in M/D/YYYY format
Marriage
Must contain a date in M/D/YYYY format
Other Adult living at Home
Must contain a date in M/D/YYYY format
Name
First Name
Middle
Last Name
(xxx)-xxx-xxxx (Must contain only numbers)
Primary number
(xxx)-xxx-xxxx (Must contain only numbers)
Alternate number
Sacraments received:
Baptism
Must contain a date in M/D/YYYY format
Communion
Must contain a date in M/D/YYYY format
Confirmation
Must contain a date in M/D/YYYY format
Marriage
Must contain a date in M/D/YYYY format
CHILDREN Information
Name
First Name
Nickname
Middle
Last Name
Sex
Must contain a date in M/D/YYYY format
Lives at Home
Name
First Name
Nickname
Middle
Last Name
Sex
Must contain a date in M/D/YYYY format
Lives at Home
Name
First Name
Nickname
Middle
Last Name
Sex
Must contain a date in M/D/YYYY format
Lives at Home
Name
First Name
Nickname
Middle
Last Name
Sex
Must contain a date in M/D/YYYY format
Lives at Home
Name
First Name
Nickname
Middle
Last Name
Sex
Must contain a date in M/D/YYYY format
Lives at Home
Are there more children
Do you wish to receive monthly envelopes
Would you like to sign up for Online Giving?