Parish Registration & Parishioner Update

Type of Registration REQUIRED

Type

Please fill out this field.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

Zip REQUIRED Please fill out this field. Please enter an integer (number).

Home Phone REQUIRED Please fill out this field. Please enter valid data.

Alternate Phone (His) Please enter valid data.

Alternate Phone (Hers) Please enter valid data.

Email Please enter an email address.

Date of Marriage (if applicable) Please enter a date.

Years/Months lived in parish REQUIRED Please fill out this field. Please enter valid data.

Head of Household

Spouse [if any]

Child/Other Member

Child/Other Member

Child/Other Member

Child/Other Member

Name Please enter valid data.
Date of Birth Please enter valid data.
Gender Male Female
Religion Please enter valid data.
Sacraments Received
Select Highest Level
Baptism First Communion Confirmation
Church of Baptism Please enter valid data.
City of Baptism Please enter valid data.
State of Baptism
Ministries Interested
Please check our ministries page and list any ministries in which you are interested
Envelopes / Contributions REQUIRED
Please select one Please allow 6-8 weeks to receive parish contribution envelopes. For more information about the Faith Direct automatic withdrawal system, see the home page.
I wish to receive church envelopes I will enroll in the Faith Direct Program (no envelopes) I do not request envelopes at this time Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.