Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

First, we are so delighted that you want to join our parish family. We want to serve your family by providing opportunities to meet, love, and serve Jesus Christ and his Church. Registering your information will help us to do that. It is helpful to us if you can fill out all areas of this form-but if you don't remember a lot of dates, don't worry. Your name and contact info is best!

Your contact information will stay private within the parish office.

Welcome to our parish!

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?