Lenten Fish Fries - Every Friday during Lent!
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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.

Family Name
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Which Church would you like to be registered under?
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Would you like Contribution envelopes?
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Are you interested in joining a Ministry?
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Adult #1
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Gender
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Date of Birth //
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Religion
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Adult #2
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Maiden Name of Wife
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Gender
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Date of Birth //
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Religion
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Primary Phone --
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Secondary Phone --
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Emergency Contact Phone Number --
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Email Address
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Alternative Email Address
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Home Address
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Alternative Address
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Winter/Summer
Other Preferred Means of Communication? Please list here.
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First and Last Name(s) of Other Adult(s) in Household
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Name of Child
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Gender
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Date of Birth //
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Year in School
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Sacraments Received
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Name of Child
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Gender
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Date of Birth //
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Year in School
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Sacraments Received
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Do you have any other children living in your home?
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Please list the names of other children in the home:
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Is this information:
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Is there any other information you would like to share with us?
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Please list all Sacraments received.
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For each member of the family please list all Sacraments received (Baptism, First Communion, Confirmation, Marriage). Date and Place if known
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