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.

FAMILY INFORMATION
Todays Date: //
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Last Name
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Address
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E-mail
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THIS INFORMATION IS
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IF TRANSFERRING FROM ANOTHER PARISH WHICH PARISH?
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Permission to Publish in Parish Directory
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HEAD OF HOUSEHOLD
First Name, Middle Inital and Last Name
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Maiden Name
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DOB //
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Sex
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Occupation
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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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SACRAMENTS COMPLETED
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Baptized into what Religion?
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MARITAL STATUS
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MARRIED BY PRIEST/DEACON?
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Name of Church Married in
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City and State
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Date Married //
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SPOUSE
Spouse First Name, Middle Inital and Last Name
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Maiden Name
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DOB //
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Sex
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Primary Phone --
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Occupation
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E-mail
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SACRAMENTS COMPLETED:
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Baptized into what Religion?
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FIRST CHILD IN HOUSEHOLD
First Name, Middle Inital and Last Name
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DOB //
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Sex
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SACRAMENTS COMPLETED
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Baptized into what Religion
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ATTENDED CCD CLASSES?
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IF NO TO CCD CLASS WHAT SCHOOL DO THEY ATTEND?
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SECOND CHILD
First Name, Middle Inital and Last Name
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Middle Name
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DOB //
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Sex
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SACRAMENTS COMPLETED
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Bapitized into what Religion?
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ATTEND CCD CLASSES?
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IF NO TO CCD CLASSES WHAT SCHOOL DO THEY ATTEND?
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THIRD CHILD
First Name, Middle Initial and Last Name
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DOB //
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Sex
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SACRAMENTS COMPLETED
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Baptized into what Religion?
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ATTEND CCD CLASSES?
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IF NOT TO CCD CLASSES WHAT SCHOOL DO THEY ATTEND?
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FOURTH CHILD
First Name, Middle Initial and Last Name
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DOB //
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Sex
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SACRAMENTS COMPLETED
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Baptized into what Religion?
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ATTEND CCD CLASSES?
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IF NO CCD CLASSES WHAT SCHOOL DO THEY ATTEND?
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OFFICE USE ONLY
CENSUS CODE
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FAMILY ID
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ENVELOPE NUMBER
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REGISTRATION DATE //
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