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Please complete the registration form below and click “Submit”.Someone from the parish will contact you to schedule a meeting.Thank you Type of Registration *Choose a Type of RegistrationIndividual registrationFamily registrationIf you are just registering for yourself, select individual, if for your family, select family.Marriage Status *Marriage StatusSingleMarriedDivorcedWidowedFirst and Last Name *Gender *GenderMaleFemaleDate of Birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone Number *0 / 10Email Address *Street Address *City *State *ZIP / Postal Code *Occupation0 / 5SacramentsCatholicBaptized1st CommunionConfirmedCheck all Sacraments that you have received.First and Last Name of Husband *Husband Date of Birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Husband's SacramentsCatholicBaptized1st CommunionConfirmedCheck all Sacraments that the husband has received.Husband's Occupation0 / 5First and Last Name of Wife *Wife Date of Birth *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Wife's SacramentsCatholicBaptized1st CommunionConfirmedCheck all Sacraments that the wife has received.Wife's Occupation0 / 5Do you have any children? *YesNoNumber of Children *Child InformationChild genderGenderMaleFemaleChild NameChild Date of BirthMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Child's GradeGradePre KK123456789101112Child's SacramentsBaptism1st CommunionConfirmedChoose which sacraments your child has made.Add ChildRemove ChildSubmit
Please complete the registration form below and click “Submit”.Someone from the parish will contact you to schedule a meeting.Thank you