• Kindly complete this online form to register in the parish.
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    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

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  • Phone Number Maximum 20 characters Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Previous parish (if any?): Please enter valid data.
  • Parish Support: which do you prefer: On-Line Giving Budget Envelopes
  • Cash donations must be within a parish budget envelope for tax  recording purposes. Personal checks are acceptible.
      Click here for Faith Direct on-line giving.

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  • Individual Member Information
  • Adult 1:
  • First Name Please enter valid data.
  • Last Name: Please enter valid data.
  • Maiden Name: Please enter valid data.
  • Date of Birth Please enter valid data.
  • Occupation: Please enter valid data.
  • Cell Phone: Please enter valid data.
  • Catholic? REQUIRED Yes No Please fill out this field.
  • Marital Status Please enter valid data.
  • Valid Catholic Marriage Yes No
  • Sacramental Information Baptism First Communion Confirmation

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  • Adult 2:
  • First Name: Please enter valid data.
  • Last Name: Please enter valid data.
  • Maiden Name: Please enter valid data.
  • Date of Birth: Please enter valid data.
  • Phone Number: Please enter valid data.
  • Occupation: Please enter valid data.
  • Catholic? Yes No
  • Marital Status: Please enter valid data.
  • Valid Catholic Marriage Yes No
  • Sacramental Information Baptized First Communion Confirmation

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  • DEPENDENT CHILD 1: Please enter valid data.
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Date of Birth: Please enter a date.
  • Gender: M F
  • Sacramental Information Baptized First Communion Confirmed

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  • DEPENDENT CHILD 2:
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Date of Birth: Please enter a date.
  • Gender: M F
  • Sacramental Record: Baptized First Communion Confirmed

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  • DEPENDENT CHILD 3: Please enter valid data.
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Gender: M F
  • Sacramental Record: Baptized First Communion Confirmed

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    DEPENDENT CHILD 4:
  • First Name Please enter valid data.

    Last Name Please enter valid data.
  • Date of Birth: Please enter a date.
  • Gender: M F
  • Sacramental Information: Baptized First Communion Confirmed

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