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New Parishioner Registration Form
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We would like young adults 18 years and older to register separately. All the information provided will remain confidential.
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New Registration
Updating prior Registration
Name
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Last
Denomination:
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Catholic
Other
Spouse's Name (if applicable)
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Last
Denomination:
Catholic
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Physical address:
Mailing Address:
Email
Phone Numbers
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Please select one of the following:
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Married
Widowed
Separated/Divorced
Common Law
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If Applicable:
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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)
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)
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?
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Would you like a set of Offering Envelopes?
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Additional Information?
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