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Parish Registration

Please complete the form below and then click the Registration button below - thanks

Parish Registration

Today's date (mm/dd/yy)

First name

Last name

Date of birth (mm/dd/yy)

Phone number

email

Sacraments Recieved

Baptism

Reconciliation

First Communion

Confirmation

Spouse first name (if married)

Spouse's Date of Birth (mm/dd/yy)

Phone Number

email

Sacraments Received (Spouse)

Baptism

Reconciliation

First Communion

Confirmation

Street number and name (Mailing address)

City, State, Zip Code

Child 1 (living at home)

Date of birth

Gender

male

female

age

Sacrament received

Baptism

Communion

Child 2 (living at home)

Date of birth

Gender

Male

Female

Age

Sacraments received

Baptism

Communion

Child 3 (living at home)

Date of birth

Gender

Male

Female

Age

New Field:

Baptism

Communion

Child 4 (living at home)

Date of birth

Gender

Male

Female

Age

Sacraments received

Baptism

Communion

Child 5 (living at home)

Date of birth

Gender

Male

Female

Age

Sacraments received

Baptism

Communion

Parish Registration

We are happy to have you join our faith filled community growing together and spreading the gospel of Jesus through our

FAITH, FAMILY and FELLOWSHIP.

Please complete the form below and then click the Registration button below - thanks

Parish Registration

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