Parish Registration
We are delighted that you are joining our faith community!  Once your registration is submitted a member of the staff will be in touch to finalized your registration.  If you need any assistance please reach us at (302-652-6800) 456-7890.
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Head of Household (First and Last Name) *
Date of Birth *
Full Street Address *
Street, City, State & Zip code *
Email *
Phone Number *
What type of number is this?  *
Marital Status *
Religion *
Sacraments Received *
Occupation *
Previous Parish
(Please include, City and State)
 *
Spouse's Name 
First and Last name {Maiden in parentheses}
 *
Spouse's Date of Birth *
Spouse's Email *
Spouse's Phone Number *
What type of number is this?  *
Religion *
Sacraments Received *
Occupation *
Child's Name (Full Legal Name)
Date of Birth
Gender
Sacraments Received
Child's Name (Full Legal Name)
Date of Birth
Gender
Sacraments Received
Child's Name (Full Legal Name)
Date of Birth 
Gender 
Sacraments Received
Child's Name (Full Legal Name)
Date of Birth 
Gender 
Sacraments Received
Our family would like to provide our offertory payments via:  *
Our family is interested in serving the community (select any that apply):
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