Online Parish Registration

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Please complete all information fields for each individual Household Member being registered, including all children living at home under the age of 21.  Adult children should register themselves individually.

 

Household Information:

 

Household Information For *
Title *
First Name *
Last Name *
Street Address *
City *
State *
Zip *
Home Phone *
Cell Phone
Email *
Would you like to receive email newsletters from the parish?
Yes
No
How would you like to support the parish?
Envelopes
Online Giving
Please indicate if you would like us to share your family name(s) in our bulletin as we welcome new parishioners
Yes
No
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Registrant

 

Birth Date (MM/DD/YYYY) *
Religion (ie. Jewish, Methodist, None) *
Languages Spoken *
Occupation/Student/Retired *
Name of Company/School
Marital Status *
Marriage Date
Place of Birth
Baptism*
Yes
No
Penance*
Yes
No
1st Communion*
Yes
No
Confirmation*
Yes
No
Disabilities
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Spouse

 

Household Information For
Title
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Child #1

 

Household Information For
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
Back Next Save Progress
Complete 44%
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Child #2

 

Household Information For
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
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Complete 55%
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Child #3

 

Household Information For
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
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Complete 66%
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Child #4

 

Household Information For
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
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Complete 77%
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Please continue to click NEXT below the form until you reach the SUBMIT button (Page 9)

 

Household Member Information:

(Indicate only children living at home under the age of 21; Adult children should register individually.)

 

Other

 

Household Information For
Relationship to Registrant
First Name
Gender
Male
Female
Last Name if Different/Maiden
Birth Date (MM/DD/YYYY)
Religion (ie. Jewish, Methodist, None)
Languages Spoken
Occupation/Student/Retired
Name of Company/School
Marriage Date
Place of Birth
Baptism
Yes
No
Penance
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Disabilities
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Please indicate if you or any household member would like to participate in any of the Ministries below:

 

Choirs
Contemporary
Traditional
Youth
Faith Formation/Religious Education
Children
High School Youth Group
Adult
Liturgical Ministries
Altar Servers
Children's Liturgy
Eucharistic Minister
Reader
Usher
Other Ministries
Bible Study
Carnival of Fun
Parish Partners: Care for the Sick and Aging
Social Justice
Soup Kitchen
St. Catherine's Players
Walking With Purpose: Women's Catholic Bible Study
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