Registration form new parishioner

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New Parishioner Registration Form

We would like young adults 18 years and older to register separately. All the information provided will remain confidential. *

New Registration
Updating prior Registration

Name *

First

Last

Denomination: *

Catholic
Other

Spouse's Name (if applicable)

First

Last

Denomination:

Catholic
Other

Physical address:

Mailing Address:

Email

Phone Numbers

First

Last

Please select one of the following: *

If Applicable:

First

Last

Children (If child's last name is different than the above family name, please enter it with first name) If you have more than 5 children, please enter their information in the "Additional Information" box below.

Children (If child's last name is different than the above family name, please enter it with first name) (copy)

First

Middle

Last

Children (If child's last name is different than the above family name, please enter it with first name) (copy)

Children (If child's last name is different than the above family name, please enter it with first name) (copy) (copy)

First

Middle

Last

Children (If child's last name is different than the above family name, please enter it with first name) (copy) (copy) (copy)

First

Middle

Last

Children (If child's last name is different than the above family name, please enter it with first name) (copy) (copy)

Children (If child's last name is different than the above family name, please enter it with first name) (copy) (copy) (copy)

First

Middle

Last

Children (If child's last name is different than the above family name, please enter it with first name) (copy) (copy) (copy) (copy)

First

Middle

Last

Would you like Pre-Authorized Offerings set up? *

Yes
No

Would you like a set of Offering Envelopes? *

Yes
No

Additional Information?

Phone

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