Parish Registration Form

All information is confidential with the exception of your name and address which is shared with the Archdiocese.

Today's Date
Today's Date
Address
Address
Home Phone
Home Phone
Husband or Single Male
Name
Name
Date of Birth
Date of Birth
Work Phone
Work Phone
Cell Phone
Cell Phone
Marital Status
Date of Marriage
Date of Marriage
Sacraments Received
Check all that apply
Wife or Single Female
Name
Name
Date of Birth
Date of Birth
Work Phone
Work Phone
Cell Phone
Cell Phone
Marital Status
Sacraments Received
Check all that apply
Was your wedding witnessed by a Priest or a Deacon according to the Catholic Rite of Marriage?
Children/Other Information
How many children are in residence at the above address?
Please choose your preferred donation method:
Faith Direct is our online giving program that you can use instead of parish envelopes. If you would rather use this option, there is a link to sign-up on the homepage of our website.
Parish Envelopes
If you chose to tithe with parish envelopes please choose which envelopes you wish to receive: