Parish Registration

Please use the form below (or click here to download a printable copy) to join our parish or update your information for our records. We will review the information and contact you as soon as possible.

Name of Husband

First Name

Last Name

Name of Wife

First Name

Last Name

First and Last Name(s) of Other Adult(s) in Household

First and Last Names of Child(ren) in Household

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Alternative Email Address

Home Address

Street 1

Street 2

City

State

Zip

Other Preferred Means of Communication? Please list here.

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?

Parish Registration

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