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Baptism
Reconciliation
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R.C.I.A. – Rite of Christian Initiation of Adults
Adult Confirmation
Marriage
Anointing of the Sick
Vocations
K-5 Religious Education
Vacation Bible School
DASH – Junior High Religious Education
DASH 2 (7th Grade) Students
DASH 3 (8th grade) Students
High School Youth Ministry
Parents Page 2019-2020
Adult Faith Formation
Live The Faith
Mass Times
Serving At Mass
Ministry of Music
Praying Together
Living the Parish Life
Arts & Environment
FORMED – Online Catholic Content
Becoming Missionary Disciples – Parish Mission 2019
Serve Others
Funeral Planning
Pastoral Outreach
Family Support
Community Outreach
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Registration Form
*** If you are having problems filling out the online form, go to
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If you are a human and are seeing this field, please leave it blank.
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Family Name
*
Address
*
City/State
*
Zip
*
Mailing Address (if different from above)
City/State
Zip
Subdivision
*
Marital Status
*
Married In the Catholic Church
Married Outside the Catholic Church
Single (never married)
Divorced/Annulled
Divorced
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Mail addressed to
*
Mr./Mrs.
Mr.
Mrs.
Ms.
Miss
None
Attends Mass Regularly (Every Sunday)
*
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Your Information
First Name
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Title
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Ms.
Miss
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Secondary Phone Number
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Email
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Maiden Name
Nickname
Date of Birth (mm/dd/yyyy)
*
Occupation
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Religion (Catholic, Lutheran...)
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Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
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Comments
Spouse
First Name
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Last Name
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Secondary Phone Number
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Cell
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Email
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Maiden Name
Nickname
Date of Birth (mm/dd/yyyy)
*
Occupation
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*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
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Comments
Please list all children still living at home.
We encourage adult children living at parents home to register on their own.
Number of Children to register on this form
Children
Child 1
First Name
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Last Name
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Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 2
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 3
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 4
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 5
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 6
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Please list other people living with you. For example: Mother, Father, In-Law, Niece, Nephew, Aunt, Uncle, Fiancé)
Number of Other People living with you
(Mother, Father, In-Law, Fiancé)
Others Living with you
Other Person 1
Relationship
*
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth
*
Gender
*
Male
Female
Occupation
Grade in School
School Attending
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Other Person 2
Relationship
*
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth
*
Gender
*
Male
Female
Occupation
Grade in School
School Attending
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
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