Parish Registration

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PARISH REGISTRATION

Please completely fill out the form below and click the SUBMIT FORM button when done.
You will receive email confirmation afterwards through the email you provide on the form.
If you have any questions please contact us by clicking here.

If you wish to fill out an application by hand, please DOWNLOAD THE FORM HERE, print and follow the instructions on the form.

Applicant Information

Today's Date:

Please select one that apply to you:

Family Last Name:

Address: Unit #:

City: State: ZIP:

Best Phone Number to reach you:

Email:

Verify your email:

Would you like to receive weekly envelopes?

Male: Date of Birth:

*Religion:
*We need this information to find what is necessary to proceed with registration as a Catholic Parishioner.

Marital Status:

Sacraments Received:

 
Female: Date of Birth:

*Religion:
*We need this information to find what is necessary to proceed with registration as a Catholic Parishioner.

Marital Status:

Sacraments Received:

 

Children Under 18 Years of Age

Date of Birth:

School Grade Level:

Sacraments Received:


Date of Birth:

School Grade Level:

Sacraments Received:


Date of Birth:

School Grade Level:

Sacraments Received:


Date of Birth:

School Grade Level:

Sacraments Received:


Date of Birth:

School Grade Level:

Sacraments Received:


If you need to include more children, please list them and their information here:


To make sure we know that you are not a SPAMBOT please enter the numbers you see below into the box next to it:
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