Parish Family Registration
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Email *
Family Last Name *
Previous Church Parish (if any)
Mailing Address (City, State, Zip) *
Working Phone Number *
Family Status *
Required
Date/Place of Marriage
Mass Attendance *
Required
Husband/Father Name *
Husband/Father DOB *
MM
/
DD
/
YYYY
Has Husband/ Father Received all of his Sacraments? *
Husband/Father Date & Place of Baptism, Date & Place of Communion, Date & Place of Confirmation *
Wife/Mother Name *
Wife/Mother DOB *
MM
/
DD
/
YYYY
Has Wife/Mother received all of her Sacraments? *
Wife/Mother Date & Place of Baptism, Date & Place of Communion, Date & Place of Confirmation *
Child 1 Name/ Gender *
Child 1 DOB *
MM
/
DD
/
YYYY
Has Child 1 received all of their Sacraments? *
Child 1: Date & Place of Baptism, Date & Place of Communion, Date & Place of Confirmation *
Is Child 1 registered in Youth Faith Formation? *
Child 2 Name/ Gender
Child 2 DOB
MM
/
DD
/
YYYY
Has Child 2 received their Sacraments?
Child 2 Date & Place of Baptism, Date & Place of Communion, Date & Place of Confirmation
MM
/
DD
/
YYYY
Is Child 2 registered in Youth Faith Formation
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Child 3 Name/Gender
Child 3 DOB
MM
/
DD
/
YYYY
Has Child 3 received Sacraments?
Child 3 Date & Place of Baptism, Date & Place of Communion, Date & Place of Confirmation
Church Contributions *
We encourage each parishioner to be involved in at least one ministry in our parish. (Worship, Word, Community or Service)
Would you like to volunteer for a parish ministry? Or receive more info about a particular parish ministry? *
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