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 or if you prefer to print the form please click here for a printable PDF version.

Name of Husband
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Name of Wife
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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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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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Other Preferred Means of Communication? Please list here.
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Is this information:
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