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.

Name
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Spouse's Name
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First and Last Name(s) of Other Adult(s) in Household
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Is anyone in your family homebound? If so, would they like to receive Communion or a Pastoral Visit?
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If you live alone, would you like to provide us with a contact name and number in case of an emergency?
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If yes, input the contact information here.
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First and Last Names of Child(ren) in Household
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Will your child(ren) be attending Faith Formation?
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Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Home Address
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Other Preferred Means of Communication? Please list here.
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Do you currently receive offering envelopes?
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Is this information:
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Would you like any information on the following ministries?
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For security purposes, please enter the text that appears in the box below.
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