Join the Parish

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Complete new member registration form online!

Today's date REQUIRED Please fill out this field. Please enter valid data.

First Name, Last Name, Middle Initial REQUIRED Please fill out this field. Please enter valid data.

Maiden Name: Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Gender Female Male

Religion REQUIRED Please fill out this field. Please enter valid data.

Occupation Please enter valid data.

Employer Please enter valid data.

Sacraments Received: REQUIRED Baptism First Communion Confirmation Have not received any of the Sacraments listed above Please fill out this field.

Marital Status REQUIRED Single Married Widowed Divorced Please fill out this field.

Marriage Date or if not Married enter "N/A" REQUIRED Please fill out this field. Please enter valid data.

Marriage Place Please enter valid data.

Primary Phone REQUIRED Please fill out this field. Please enter valid data.

Secondary Phone Please enter valid data.

Email Address REQUIRED Please fill out this field. Please enter valid data.

Spouse Information

First Name, Last Name, Middle Initial Please enter valid data.

Maiden Name: Please enter valid data.

Date of Birth Please enter valid data.

Gender Female Male

Religion Please enter valid data.

Occupation Please enter valid data.

Employer Please enter valid data.

Sacraments Received: Baptism First Communion Confirmation Have not received any of the Sacraments listed above

Marital Status Single Married Widowed Divorced

Marriage Date or if not Married enter "N/A" Please enter valid data.

Marriage Place Please enter valid data.

Primary Phone Please enter valid data.

Secondary Phone Please enter valid data.

Email Address Please enter valid data.

Would you like to receive The Catholic Herald Newspaper? No thanks Yes, email me a copy Yes, I'd like a paper copy

Address Information

Address: REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Children at Home

First Child

Second Child

Second Child - Sacraments Received Baptism Communion Confirmation

Third Child

Third Child - Sacraments Received Baptism Communion Confirmation

Fourth Child