Adult Registration Form

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. If you have children, please fill out a Child Registration form for each child.

Head 1
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Birth Date //
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General Information
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provide: ethnic background, language spoken, occupation, education level/degree
Religion
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Sacraments
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Head 2
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Birth Date //
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General Information
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Provide: ethnic background, language spoken, occupation, education level/degree
Religion
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Sacraments
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Marital Status
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Home Address
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First and Last Name(s) of other Adults in the Household
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provide: name, birth date, relationship (son, daughter, grandparent), gender, ethnic background, language spoken, occupation, education level/degree, and religion
Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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Is this information
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Preferred Time of Mass Attendance
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For security purposes, please enter the text that appears in the box below.
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