Parish Registration

VParish RegistrationV

Please fill out and click on submit to send to the parish office if you are new to the parish or if you have family changes.

All information is kept confidential.

Date:

Envelope #

Last Name:

First Name:

Spouse:

M/M

Mr.

Ms.

Miss

Address:

City:

Zip:

Phone:

( Listed: Unlisted: )

Email Address:

Occupation Head of Household:

Work Number:

Occupation of Spouse:

Work Number:

I/We intend to use envelopes for Parish support:

Yes:

No:

First Language:

Second:

Marital Status: Single: Widowed: Divorced: Married:

Date Married:

Were you married in the Catholic Church?: Yes: No:

List All (include Head of Household & Spouse) Current Household Members.

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