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Home
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Our Parish
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Register
Update Your Contact Info
Online Giving
History
News & Events
Parish News
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Youth Group Calendar
Parish Calendar
Bulletins
Photo Albums
Helpful Links
Faith Formation
Adult Faith Formation
Confirmation
First Communion
Parish School of Religion
OCIA (Becoming Catholic)
Youth Group
Vacation Bible School
Ministries
Altar Servers
Altar Society
Bible Study
Blanket Ministry
Knights of Columbus
Liturgical Ministries
Matthew 25 Disaster Aid
Marriage Ministry
Music / Choir
Outreach Ministries / Poor Box
Pastoral Council
St. Joseph Altar
Thursday Work Crew
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Instructions
Use the online form for a quick registration or submit the printable document below to the office.
Documents
Printable Family Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
Date
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First Name
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Last Name
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Mailing Name (ie Mr & Mrs John Doe)
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Street Address
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City
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Zip
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Home Phone Number
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Emergency Phone Number
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Family Email
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Please enter an email address.
Do You Want Weekly Donation Envelopes?
Yes
Not at this time
Envelope Number
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Individual Member Information
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Member 1
Parish Status
Active
Inactive
Role
None
Head of Household
Husband
Wife
Other
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First Name
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Nickname
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Maiden Name
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Gender
None
Male
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Date of Birth
REQUIRED
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Please enter a date.
Email
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Work Phone Number
Maximum 20 characters
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Cell Phone Number
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First Language
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Occupation and Employer
Sacramental Information
Catholic?
Yes
Baptized?
Yes
Baptismal Date
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Reconciliation?
Yes
Reconciliation Date
Please enter a date.
First Eucharist?
Yes
First Eucharist Date
Please enter a date.
Confirmed?
Yes
Confirmation Date
Please enter a date.
Marital Status
None
Single
Married
Separated
Divorced
Annulled
Valid Catholic Marriage?
Yes
Member 2
Parish Status
Active
Inactive
Role
None
Head of Household
Husband
Wife
Other
If role is "other", please specify.
Please enter valid data.
First Name
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Nickname
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Maiden Name
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Gender
None
Male
Female
Date of Birth
REQUIRED
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Please enter a date.
Email
Please enter an email address.
Work Phone Number
Maximum 20 characters
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Cell Phone Number
Maximum 20 characters
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First Language
Please enter valid data.
Occupation and Employer
Sacramental Information
Catholic?
Yes
Baptized?
Yes
Baptismal Date
Please enter a date.
Reconciliation?
Yes
Reconciliation Date
Please enter a date.
First Eucharist?
Yes
First Eucharist Date
Please enter a date.
Confirmed?
Yes
Confirmation Date
Please enter a date.
Marital Status
None
Single
Married
Separated
Divorced
Annulled
Valid Catholic Marriage?
Yes
Are there any members of your household who would like to be visited by a priest?
Yes
Dependent Children Information
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Dependent 1
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
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First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
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Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 2
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 3
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 4
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 5
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 6
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 7
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 8
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 9
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 10
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 11
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 12
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 13
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Dependent 14
Relationship to Head of Household
None
Son
Daughter
Other
If other relationship to head of household, please specify.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
None
Male
Female
Date of Birth
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace
Please enter valid data.
High School Graduation Year
Please enter an integer (number).
School
Please enter valid data.
First Language
Please enter valid data.
Catholic?
Yes
Baptism
Yes
Date of Baptism
Please enter a date.
First Eucharist?
Yes
Date of Eucharist?
Please enter a date.
Reconciliation?
Yes
Date of Reconcilation
Please enter a date.
Confirmation
Yes
Date of Confirmation
Please enter a date.
Submit