Parish Registration Form

Select One*

New in the Parish
Update Information
Leaving the Parish

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Yes, I would like to receive Stewardship envelopes
No, I do not want to receive Stewardship envelopes

Personal Information:

Name*

First Last

Religion

Birth Date

MM

DD

YYYY

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Occupation

Email*

Marital Status

Spouse's Information:

Name*

First Last

Religion

Birth Date

MM

DD

YYYY

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Occupation

Email*

Local Address

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Residency

Full Time Resident
Seasonal Resident

Seasonal Address

Seasonal Northern Address

Street Address City State ZIP Code

Phone*

What months are you up north?

Check all that apply

Do you have children living at home?*

Yes
No

Children Living at Home

First Child's Name

First Last

Birth Date

MM

DD

YYYY

Gender

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Second Child's Name (if applicable)

First Last

Birth Date

MM

DD

YYYY

Gender

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Third Child's Name (if applicable)

First Last

Birth Date

MM

DD

YYYY

Gender

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Fourth Child's Name (if applicable)

First Last

Birth Date

MM

DD

YYYY

Gender

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Fifth Child's Name (if applicable)

First Last

Birth Date

MM

DD

YYYY

Gender

Sacraments Received (select all that apply):

Baptism
Eucharist
Confirmation

Please list areas of Ministry or Service you are interested in joining