Registering as new parishioner

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Home Address *

City *

State *

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Home Phone

I want to receive envelopes

I want to sign up for auto giving (visit the parish website and select ‘donate’ at the top of the page and follow the prompts to create an account).

Additional Information

TitleMr.Mrs.Ms.Miss

First Name *

Last Name *

Mobile Phone *

Email *

Birth Date

Marital StatusSingleMarriedDivorcedWidowWidowerSeparated

Date of Marriage

Married by PriestYesNo

Occupation

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

TitleMr.Mrs.Ms.Miss

First Name

Last Name

Mobile Phone *

Email *

Birth Date

Occupation

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

First Name

Last Name

GenderMaleFemale

Birth Date

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

First Name

Last Name

GenderMaleFemale

Birth Date

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

First Name

Last Name

GenderMaleFemale

Birth Date

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

First Name

Last Name

GenderMaleFemale

Birth Date

Religion

Baptism

First Eucharist

Confirmation

None

Volunteer Interests

1 + 2 = ?Please prove that you are human by solving the equation *