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Parish Registration

Please complete the informtion requested below. Once your accout is set up by the parish office, you will receive an email with aditional information.

Please complete the form below. Required fields marked with an asterisk *

Contact Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Birthdate*

mm/dd/yyyy

Answer Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Email 1*

Answer Required

Email 2 *

Answer Required

Home Phone

Number Required

Work Phone

Number Required

Mobile Phone*

Answer Required