Parish Registration

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Select One*
Select One*

Personal & Contact Information

Physical Address*
Mailing Address*
Alternate Address for Seasonal Residents (if applicable)

Male or Female Head of Household Information

Name*
MM slash DD slash YYYY
Sacraments Received*
Marital Status*
Are You A Full-Time Resident
If you are not a full-time resident, please select all the months that you are here locally.

Spouse Information (IF MARRIED, PLEASE FILL OUT ALL AREAS REGARDING SPOUSE INFORMATION)

Name
MM slash DD slash YYYY
Sacraments Received
Marital Status
Are You A Full-Time Resident
If you are not a full-time resident, please select all the months that you are here locally.

Children Living at Home

Child #1 Name
MM slash DD slash YYYY
Child #1 (Select One)
MM slash DD slash YYYY
Child #1: Baptism: Church's Address
MM slash DD slash YYYY
Child #1: First Communion: Address of Church
MM slash DD slash YYYY
Child #1: Confirmation: Address of Church
Child #2 Name
MM slash DD slash YYYY
Child #2 (Select One)
MM slash DD slash YYYY
Child #2: Baptism: Address of Church
MM slash DD slash YYYY
Child #2: First Communion: Address of Church
MM slash DD slash YYYY
Child #2: Confirmation: Address of Church
Child #3 Name
MM slash DD slash YYYY
Child #3 (Select One)
MM slash DD slash YYYY
Child #3: Baptism: Address of Church
MM slash DD slash YYYY
Child #3: First Communion: Address of Church
MM slash DD slash YYYY
Child #3: Confirmation: Address of Church

Extra Information

Do you need assistance getting your marriage blessed?
Would you like to explore avenues surrounding an annulment?

Parish Ministries & Organizations

Please select all that you are CURRENTLY INVOLVED in.
Please select all that you are INTERESTED IN JOINING.