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New Parishioner Registration
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Email
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Your email
Family Name
*
Your answer
Home Address
*
Your answer
City, State, Zip
*
Your answer
Home Phone
*
Your answer
Cell Phone
Your answer
Are you currently registered in another Parish?
*
Yes
No
If yes, which parish?
Your answer
How would you like to make your weekly offertory donation?
*
I will sign up for electronic giving (please proceed to the Parish Giving link on the website after completing registration)
I would like to receive envelopes
Your First Name
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Religion
*
Your answer
Church of Baptism
*
Your answer
Church of First Communion
*
Your answer
Church of Confirmation
*
Your answer
Occupation
*
Your answer
Ethnicity
*
White (non-Hispanic)
Hispanic
African-American
Asian-American
Pacific Islander
Multiracial
Other:
Spouse
Your answer
Gender
Male
Female
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Religion
Your answer
Church Of Baptism
Your answer
Church of First Communion
Your answer
Church of Confirmation
Your answer
Occupation
Your answer
Ethnicity
White (non-Hispanic)
Hispanic
African-American
Asian-American
Pacific Islander
Multiracial
Other:
Clear selection
Marital Status
Married
Single
Divorced
Annulled
Engaged
Clear selection
Were You Married in a Catholic Church?
Yes
No
Clear selection
Church of Marriage
Your answer
Date of Marriage
MM
/
DD
/
YYYY
If not a Catholic Church, where were you married?
Your answer
Child's Name
Your answer
Gender
Male
Female
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Religion
Your answer
School and Grade
Your answer
Church of Baptism
Your answer
Church of First Communion
Your answer
Church of Confirmation
Your answer
Child's Name
Your answer
Gender
Male
Female
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Religion
Your answer
School and Grade
Your answer
Church of Baptism
Your answer
Church of First Communion
Your answer
Church of Confirmation
Your answer
Child's Name
Your answer
Gender
Male
Female
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Religion
Your answer
School and Grade
Your answer
Church of Baptism
Your answer
Church of First Communion
Your answer
Church of Confirmation
Your answer
More Children
Your answer
Special Needs
Your answer
Miscellaneous Information
*
Your answer
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