THE CHURCH IS OPEN! Masses will be live streamed via Facebook Live on Sunday at 8:00am & 10:30am.
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Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Head of Household

First Name*

Last Name*

Date of Birth

Required * //

Spouse's Name

First Name

Last Name

Date of Birth

Required //

First and Last Name(s) of Other Adult(s) in Household

First and Last Names of Child(ren) in Household

Cell Phone

Required* --

Email Address

Required*

Home Address

Street 1*

Street 2

City*

State*

Zip*

Other Preferred Means of Communication? Please list here.

Is this information:
Required*

	New Member Information
	An Update to a Current Household Listing

TAKE NOTE:

	This information is not shared with third parties. It is collected for the use of the parish only. You will be registered to receive contribution envelopes and text alerts once you submit this form, unless otherwise indicated. Esta información no se comparte con terceros. Se recolecta para uso exclusivo de la parroquia. Sera registrado para recibir sobres de contribución y alertas de texto una vez que envíe este formulario, a menos que se indique lo contrario.

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Parish Registration

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