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.

Head of Household
Name
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Gender
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Date of Birth //
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Are you a Baptized Catholic?
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If No what is your religion?
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Have you made your First Communion?
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Have you been confirmed?
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Marital Status
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Address
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Best telephone number to reach you at --
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Email Address
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Occupation
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Employer
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Employer Phone -- ext
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Spouse's Information (if applicable)
Name
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Maiden Name
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Date of Birth //
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Baptized Catholic?
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If NO what is your religion?
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Has this person received First Commuion?
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Has this person been Confirmed?
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Occupation
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Employer
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Employer Phone -- ext
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What is the Wedding Date you and your spouse share? //
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Children/Other Members of Household, if applicable
Full Name
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Date of Birth //
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Grade & School attending
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Indicate the Sacraments this Child has received
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Where was the Child Baptized?
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Full Name
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Date of Birth //
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Grade & School attending
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Indicate the Sacraments this Child has received
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Where was the Child Baptized?
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Full Name
  •  
Date of Birth //
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Grade & School attending
  •  
Indicate the Sacraments this Child has received
  •  
Where was the Child Baptized?
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Full Name
  •  
Date of Birth //
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Grade & School attending
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Indicate the Sacraments this Child has received
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Where was the Child Baptized?
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Ministry Information
Please list the name of any family member living at home involved (or who wants to become involved) in activities below:
Extraordinary Ministry of Communion
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Lector
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Altar Server
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Choir Member
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Cantor
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Usher
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Funeral Dinner Help
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School Volunteer
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Religious Education Volunteer
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Youth Ministry Volunteer
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Adult Education Volunteer (e.g. RCIA, Prayer Group, ...)
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Knights of Columbus
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Ladies Auxiliary
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Parish Council
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Church Decorating (Seasonal)
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Church Cleaning
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Gollner Guild for Life
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Widows of Prayer
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Rosary Leader
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Other
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Are you, or any family members interested in helping in any of the activities listed above? If so, which ones?
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Any Comments you would like to share
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