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
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First, Middle and Last Name of Spouse (if applicable)
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First and Last Name(s) of Other Adult(s) in Household
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First, Middle and Last Names of Child(ren) in Household
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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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Home Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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Spam Capture
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