Parish Registration Form Please enable JavaScript in your browser to complete this form.Family Last Name *Address *Children's Names (if applicable, separated by comma)Best email address *EmailConfirm EmailBest Phone Number *Preferred Parish Support *Automatic ACH withdrawlWeekly Offering EnvelopesOtherAdult #1 - Name *FirstMiddleLastPrimary contact for the registration recordAdult #1 - Date of Birth *Adult #1 - 10 digit mobile phone numberAdult #1 - Email addressEmailConfirm EmailAdult #1 - Sacraments completed in the Catholic Church (check all that apply)BaptismHoly CommunionConfirmationHoly MatrimonynoneAdult #2 (if applicable)FirstMiddleLastAdult #2 - Date of BirthAdult #2 - Sacraments completed in the Catholic Church (check all that apply) (copy)BaptismHoly CommunionConfirmationHoly Matrimonynone(Complete the below for children living at home) Child #1 - NameFirstMiddleLastChild #1 - Date of BirthChild #1 - Sacraments completedBaptismHoly CommunionConfirmationChild #1 - School AttendingChild #2 - NameFirstMiddleLastChild #2 - Date of BirthChild #2 - Sacraments completedBaptismHoly CommunionConfirmationChild #2 - School AttendingChild #3 - NameFirstMiddleLastChild #3 - Date of BirthChild #3 - Sacraments completedBaptismHoly CommunionConfirmationChild #3 - School AttendingChild #4 - NameFirstMiddleLastChild #4 - Date of BirthChild #4 - Sacraments completedBaptismHoly CommunionConfirmationChild #4 - School AttendingAdditional Family MembersSubmit
