REGISTRATION FOR OUR 2017-2018 RELIGIOUS EDUCATION PROGRAM IS NOW OPEN.

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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.

Name of Husband
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Name of Religion
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Name of Wife
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Name of Religion
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First and Last Name(s) of Other Adult(s) in Household
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Name of Child #1
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Date of Birth //
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Name of Child #2
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Date of Birth //
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Name of Child #3
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Date of Birth //
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Additional First and Last Names of Child(ren) in Household
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Date of Birth of all Children Listed
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Primary Phone --
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Secondary Phone --
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Email Address
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Permission to send email
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Alternative Email Address
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Home Address
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Is this information:
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For security purposes, please enter the text that appears in the box below.
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