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Choice Parishioner

• New Parishioner
• Existing Parishioner

Name *

First

Last

Date of Birth

Address *

City *

Zip Code *

Phone Number *

Email *

Sacraments

• Baptism
• Communion
• Confirmation

Husband's/Wife's Name

Date of birth

Phone No.

Sacraments

• Baptism
• Communion
• Confirmation

Are You Catholic?

• Yes
• No

Attend Mass?

• Yes
• No

Zip Parishioner Communion?

Are you both married in Catholic Church?

• Yes
• No

Child Name's *

Date of Birth

Baptized?

Communion?

Confirmation?

Send Your Registration

By registering in the parish, I choose to do my part in support of the parish through the use of the Sunday envelopes that I will receive monthly. I am also aware if no activity has been made to my profile in 6 months my registration will be cancelled.