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  • Registration Status REQUIRED New Registration Already Registered - Update Information Remove Registration from Parish Records Please fill out this field.
  • Title Mr. & Mrs. Mr. Mrs. Ms. Miss Dr. & Mrs. Mr. & Dr. Dr. & Dr. Dcn. Dcn. & Mrs.
  • Family Name REQUIRED Please fill out this field. Please enter valid data.
  • Address Please enter valid data.
  • City Please enter valid data.
  • Zip Please enter valid data.
  • Home Phone Please enter a phone number.
  • Marital Status Single Divorced Widowed Married - Civil Marriage Married - Church Marriage (Catholic) Married - Church Marriage (Non-Catholic)
  • Marriage - Civil
    • Date Please enter valid data.
  • Marriage - Church (Catholic/Non-Catholic)
    • Date Please enter valid data.
    • Name of Church Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.

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  • Head of Household Information
    • Name (First & Middle) REQUIRED Please fill out this field. Please enter valid data.
    • Maiden Name (If applicable) Please enter valid data.
    • Gender Male Female
    • Birthdate Please enter valid data.
    • Religion Please enter valid data.
    • Cell Phone Please enter a phone number.
    • E-Mail Address - Home Please enter an email address.
    • Occupation & Place of Employment Please enter valid data.
    • Work Phone Please enter a phone number.
    • E-Mail Address - Work Please enter an email address.
    • I have received the sacrament of Baptism Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.
    • I have received the sacrament of Eucharist (First Communion) Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.
    • I have received the sacrament of Confirmation Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.

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  • Spouse Information
    • Name (First & Middle) Please enter valid data.
    • Maiden Name (If applicable) Please enter valid data.
    • Last Name (if different from Family Name) Please enter valid data.
    • Gender Male Female
    • Birthdate Please enter valid data.
    • Religion Please enter valid data.
    • Cell Phone Please enter valid data.
    • E-Mail Address - Home Please enter an email address.
    • Occupation & Place of Employment Please enter valid data.
    • Work Phone Please enter a phone number.
    • E-Mail Address - Work Please enter an email address.
    • I have received the sacrament of Baptism Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.
    • I have received the sacrament of Eucharist (First Communion) Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.
    • I have received the sacrament of Confirmation Yes No
    • Date Please enter valid data.
    • Church Name Please enter valid data.
    • Address Please enter valid data.
    • City & State Please enter valid data.
    • Zip Please enter valid data.

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  • Children
  • • Number of Children you are registering REQUIRED
      Choose the number of children you will be registering.
      Please fill out this field.
    • Child 1
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 2
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 3
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 4
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 5
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 6
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 7
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).
    • Child 8
      • Name (First & Middle) Please enter valid data.
      • Last (if different from Family Name) Please enter valid data.
      • Gender Male Female
      • Birthdate Please enter valid data.
      • Religion Please enter valid data.
      • My Child has received the sacrament of Baptism Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Eucharist (First Communion) Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter valid data.
      • My Child has received the sacrament of Confirmation Yes No
      • Date Please enter valid data.
      • Name of Church Please enter valid data.
      • Address Please enter valid data.
      • City & State Please enter valid data.
      • Zip Please enter an integer (number).

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