Register as a new parishioner!

Name *

First Name

Last Name

Sacraments received *

Baptized

1st Communion

Confirmation

None yet

Primary phone number *

(###)

###

####

Home address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spouse's name

if applicable

First Name

Last Name

Spouse's date of birth

MM

DD

YYYY

Spouse's sacraments recieved

Baptized

1st Communion

Confirmation

None yet

Secondary phone number

(###)

###

####

Child 1: Name

First Name

Last Name

Child 1: Date of birth

MM

DD

YYYY

Child 1: CCD

Interested in religious education classes

Yes

Maybe

No thank you

Child 2: Name

First Name

Last Name

Child 2: Date of birth

MM

DD

YYYY

Child 2: CCD

Interested in religious education

Yes

Maybe

No

Child 3: Name

First Name

Last Name

Child 3: Date of birth

MM

DD

YYYY

Child 3: CCD

Interested in religious education

Yes

Maybe

No thank you