Registration Form

Being a registered member of our parish family gives you preferential treatment over non-parishioners, lower fees for some services and includes you in the Prayer of the Faithful petition offered weekly.

* Required

Type of Registration *
Your Ministry Interest: *
Do you want to receive Sunday envelopes:

Marital Status:
Type of Marriage:
Marriage Date:
 /  / 

Name: *
Date of Birth:
 /  / 
E-mail: *
First Communion:

Spouse's Maiden Name:
Spousep's Date of Birth:
 /  / 
Spouse - Occupation:
Spouse's E-mail:
Spouse's Phone:
Spouse - Language:
Spouse - Religion:
Spouse - Baptized:
Spouse - First Communion:
Spouse - Confirmed:

First Child Name:
First Child - Date of Birth:
 /  / 
First Child - Baptized:
First Child - First Communion:
First Child - Confirmed:

Second Child Name:
Second Child - Date of Birth:
 /  / 
Second Child - Baptized:
Second Child - First Communion:
Second Child - Confirmed:

Third Child Name:
Third Child - Date of Birth:
 /  / 
Third Child - Baptized:
Third Child - First Communion:
Third Child - Confirmed:

Please type the characters you see: