• Parish Registration Form

    Parish Registration Form

  • Format: (000) 000-0000.
  • Address Mail to:
  • Marital Status
  • Date of Marriage
     / /
  • Catholic Ceremony?

  • Head of Household

    Parent 1
  • Date of Birth*
     / /
  • Suffix (If Used)
  • Title
  • Have you:*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Additional Parent

    Parent 2
  • Date of Birth
     - -
  • Title
  • Have you:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Child 1

  • For Children in the family: Please complete the “Child” section(s) below. Please list children away at college. If the child's last name is different from the Family Name, just type over it.

    Children 24 years or older are encouraged to register on their own as an individual parish family.

  • Sex*
  • Lives at Home
  • Date of Birth*
     - -
  • Has child:*

  • Child 2

  • Sex
  • Lives at Home
  • Date of Birth*
     - -
  • Has child:

  • Child 3

  • Sex
  • Lives at Home
  • Date of Birth
     - -
  • Has child:

  • This form will accomodate up to 3 Children. To add additional children, open the Parish Registration Form for Additional Children, Finish and submit this current form. Then fill out the Parish Registration Form for Additional Children and submit it as well.

  • Should be Empty: