Register

You can register online here or download a registration form to complete and return to the Parish Office.

Last Name *

Envelope Number

Family Email *

Mailing Name

Home Phone

Emergency Phone

Address 1

Address 2

City

State

ZIP/Postal Code

Member Information #1

Member 1 First Name *

First Name

Member 1 Nick Name

Nick Name

Member 1 Role

Role

Member 1 Gender

Male
Female

Gender

Member 1 Date of Birth

Date of Birth

Member 1 Maiden Name

Maiden Name

Member 1 Email

Email

Member 1 Birth Place

Birth Place

Member 1 Ethnicity

Ethnicity

Member 1 Work Phone

Work Phone

Member 1 First Language

First Language

Member 1 Cell Phone

Cell Phone

Member 1 Special Needs

Special Needs

Member 1 Year of High School Graduation

Year of High School Graduation

Member 1 Catholic

Catholic

Member 1 Baptism

Baptism

Member 1 Baptism Date

Date

Member 1 Baptism Location

Location

Member 1 Reconciliation Prep

Reconciliation Prep

Member 1 Reconciliation Prep Date

Date

Member 1 Reconciliation Prep Location

Location

Member 1 First Eucharist

First Eucharist

Member 1 First Eucharist Date

Date

Member 1 First Eucharist Location

Location

Member 1 Confirmation

Confirmation

Member 1 Confirmation Date

Date

Member 1 Confirmation Location

Location

Member 1 Catholic Marriage

Catholic Marriage

Member 1 Catholic Marriage Date

Date

Member 1 Catholic Marriage Location

Location

Member Information #2

Member 2 First Name

First Name

Member 2 Nick Name

Nick Name

Member 2 Role

Role

Member 2 Gender

Male
Female

Gender

Member 2 Date of Birth

Date of Birth

Member 2 Maiden Name

Maiden Name

Member 2 Email

Email

Member 2 Birth Place

Birth Place

Member 2 Ethnicity

Ethnicity

Member 2 Work Phone

Work Phone

Member 2 First Language

First Language

Member 2 Cell Phone

Cell Phone

Member 2 Special Needs

Special Needs

Member 2 Year of High School Graduation

Year of High School Graduatiom

Member 2 Catholic

Catholic

Member 2 Baptism

Baptism

Member 2 Baptism Date

Date

Member 2 Baptism Location

Location

Member 2 Reconciliation Prep

Reconciliation Prep

Member 2 Reconciliation Prep Date

Date

Member 2 Reconciliation Prep Location

Location

Member 2 First Eucharist

First Eucharist

Member 2 First Eucharist Date

Date

Member 2 First Eucharist Location

Location

Member 2 Confirmation

Confirmation

Member 2 Confirmation Date

Date

Member 2 Confirmation Location

Location

Member 2 Catholic Marriage

Catholic Marriage

Member 2 Catholic Marriage Date

Date

Member 2 Catholic Marriage Location

Location

Member Information #3

Member 3 First Name

First Name

Member 3 Nick Name

Nick Name

Member 3 Role

Role

Member 3 Gender

Male
Female

Gender

Member 3 Date of Birth

Date of Birth

Member 3 Maiden Name

Maiden Name

Member 3 Email

Email

Member 3 Birth Place

Birth Place

Member 3 Ethnicity

Ethnicity

Member 3 Work Phone

Work Phone

Member 3 First Language

First Language

Member 3 Cell Phone

Cell Phone

Member 3 Special Needs

Special Needs

Member 3 Year of High School Graduation

Year of High School Graduation

Member 3 Catholic

Catholic

Member 3 Baptism

Baptism

Member 3 Baptism Date

Date

Member 3 Baptism Location

Location

Member 3 Reconciliation Prep

Reconciliation Prep

Member 3 Reconciliation Prep Date

Date

Member 3 Reconciliation Prep Location

Location

Member 3 First Eucharist

First Eucharist

Member 3 First Eucharist Date

Date

Member 3 First Eucharist Location

Location

Member 3 Confirmation

Confirmation

Member 3 Confirmation Date

Date

Member 3 Confirmation Location

Location

Member 3 Catholic Marriage

Catholic Marriage

Member 3 Catholic Marriage Date

Date

Member 3 Catholic Marriage Location

Location

Website