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.

Parishioner Status
Required*

	New to the parish
	Current members - not previously registered
	Updating information

Family Last Name

First Name*

Last Name*

First Name (head of household)

First Name*

Last Name*

Spouse Name

First Name*

Last Name*

Address

Street 1*

Street 2

City*

State*

Zip*

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Marital Status
Required*

	Church marriage
	Civil marriage
	Common law
	Single
	Divorced
	Widowed

Comments

Text (Multiple Lines)

Parish Registration

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