Parish Registration

Family Name
Today's Date //
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Last Name
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Please check your status
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Address
  •  
Primary Phone --
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Secondary Phone --
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Email Address
  •  
Husband Name
Husband Name
  •  
Birth Date //
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Sacraments Completed
  •  
Sacrament Dates
  •  
 Please indicate the dates when you received each sacrament
Occupation
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Wife Name
Wife Name
  •  
Maiden Name
  •  
Birth Date //
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Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament
Occupation
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Child 1
Child's Name
  •  
Birth Date //
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 2
Child's Name
  •  
Birth Date //
  •  
Gender
  •  
Grade
  •  
School
  •  
 Please reference the Class information at the top of this page.
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 3
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 4
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Child 5
Child's Name
  •  
Birth Date
  •  
Gender
  •  
Grade
  •  
School
  •  
Sacraments Completed
  •  
Sacrament Dates
  •  
 Please list the dates and place receiving each sacrament.
Marriage Information
Marriage Date
  •  
Marriage Parish/ Location
  •  
Remarks or General Information
Remarks or General Information
  •  
  •  
Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.
 
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