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.

Name of Husband
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Name of Wife
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Marital Status
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Please specify your marital status
First and Last Name(s) of Other Adult(s) in Household
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First and Last Names of Child(ren) in Household
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Date(s) of Birth for Each Family Member
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Please specify name - mm/dd/yyyy:
Primary Phone --
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Secondary Phone --
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Email Address
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We use Flocknote as a primary means of communicating parish updates and events, as well as sharing a digital version of our weekly bulletin. You will have an opportunity to opt-out.
Alternative Email Address
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Home Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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