Parish Registration

Thanks for taking a moment to register your household's information with our parish office.

Any adults in the household who are not the children of, not related to, or not married to the head of household should register seperately.

Please fill out the form as completely as possible and click submit.  

Family/Member Contact Information
Last Name
  •  
Address
  •  
E-mail
  •  
Primary Phone --
  •  
Unlisted Phone
  •  
Children in Household
  •  
Young Adults in Household
  •  
Church Attendance
  •  
Envelopes
  •  
Head of Household Information
Name
  •  
Marital Status
  •  
Language(s)
  •  
Religion
  •  
Special Needs
  •  
Occupation
  •  
Employer
  •  
Gender
  •  
Birth Date //
  •  

Cell Phone --
  •  
Work Phone -- ext
  •  
E-mail
  •  

Baptism
  •  
Date  
  •  
Location
  •  

First Communion
  •  
Date  
  •  
Location
  •  

Confirmation
  •  
Date  
  •  
Location
  •  

Marriage
  •  
Date //
  •  
Location
  •  
Parish Ministries
  •  
Please review the list and description of our parish ministries on our Stewardship page linked under "Get Involved".
Spouse Information
(Skip if unmarried, divorced, or widowed)
Name
  •  
Language(s)
  •  
Religion
  •  
Special Needs
  •  
Occupation
  •  
Employer
  •  
Gender
  •  
Birth Date //
  •  

Cell Phone --
  •  
Work Phone -- ext
  •  
E-mail
  •  

Baptism
  •  
Date  
  •  
Location
  •  

First Communion
  •  
Date  
  •  
Location
  •  

Confirmation
  •  
Date  
  •  
Location
  •  
Parish Ministries
  •  
Please review the list and description of our parish ministries on our Stewardship page linked under "Get Involved".
Children/Young Adult Information
(Enter information for children/young adults who reside in the household.)

(1) Name
  •  
Birth Date //
  •  
Gender
  •  
School/Employer
  •  
Grade
  •  
Sacrament(s)
  •  
Baptism Date/Location
  •  
First Communion Date/Location
  •  
Confirmation Date/Location
  •  

(2) Name
  •  
Birth Date //
  •  
Gender
  •  
School/Employer
  •  
Grade
  •  
Sacrament(s)
  •  
Baptism Date/Location
  •  
First Communion Date/Location
  •  
Confirmation Date/Location
  •  

(3) Name
  •  
Birth Date //
  •  
Gender
  •  
School/Employer
  •  
Grade
  •  
Sacrament(s)
  •  
Baptism Date/Location
  •  
First Communion Date/Location
  •  
Confirmation Date/Location
  •  

(4) Name
  •  
Birth Date //
  •  
Gender
  •  
School/Employer
  •  
Grade
  •  
Sacrament(s)
  •  
Baptism Date/Location
  •  
First Communion Date/Location
  •  
Confirmation Date/Location
  •  
Spam Capture
  •  
 
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