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.

Please note - submitting this form does not complete your registration in the parish. A staff member will be calling you within a few days to complete the registration process.

Thank you, again and God Bless!

First, Middle and Last Name of Head of Household

First Name

Middle Name

Last Name

First, Middle and Last Name of Spouse (if applicable)

First Name

Middle Name

Last Name

First and Last Name(s) of Other Adult(s) in Household

First, Middle and Last Names of Child(ren) in Household

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Alternative Email Address

Home Address

Street 1

Street 2

City

State

Zip

Other Preferred Means of Communication? Please list here.

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?

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