Parish Registration Form We are happy you are embarking on this journey with us! Please complete the Parish registration form, so we can better serve you.Family Name* Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Forms of communication*We do not want you to miss any communications. Please check all forms of communication you are interested in receiving Email Robo Call Text Message I prefer my giving to be* Online (Preferred Method) Envelopes mailed to me Marital InfoYour Marital Status* SIngle Married Widowed Divorced Married By* Catholic Priest Minister Justice of the Peace Adult Family MembersAdult Member of Family* First Last Email* Date of Birth* MM slash DD slash YYYY Place of Employment*Place of Employment and Job Description List all Sacraments*Please list all Sacraments received with dates, name of church, and locationAdult Member of Family First Last Date of Birth MM slash DD slash YYYY Email Place of EmploymentPlace of Employment and Job Description List all SacramentsPlease list all Sacraments received with dates, name of church, and locationChildrenPlease list all children under the age of 21 (over the age of 21 are considered adults and should register on their own at the church where they attend.)How many Children do you have?*Select OneNONEONETWOTHREEChild OneName of Child* First Last Date of Birth* MM slash DD slash YYYY Name of School* Grade Level* List all Sacraments*Please list all sacraments with dates, name of church, and locationChild TwoName of Child* First Last Date of Birth* MM slash DD slash YYYY Name of School* Grade Level* List all Sacraments*Please list all sacraments with dates, name of church, and locationChild ThreeName of Child* First Last Date of Birth* MM slash DD slash YYYY Name of School* Grade Level* List all Sacraments*Please list all sacraments with dates, name of church, and locationCommentsThis field is for validation purposes and should be left unchanged.
