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.

Click here for a printable Registration form in English and Spanish.

First and Last Name(s) in Household
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Name of Adult #1
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Name of Adult #2
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First and Last Name(s) of Others in Household
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First and Last Names of Minor Child(ren) in Household
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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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Religion
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Please enter your Religion.
Other Preferred Means of Communication? Please list here.
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Is this information:
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For security purposes, please enter the text that appears in the box below.
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