Parish Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

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

Street address REQUIRED

Your Street address

Please fill out this field. Please enter valid data.

Street address 2

Your Street address

Please enter valid data.

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

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email Please enter an email address.

Religion REQUIRED

Please indicate your religion

Please fill out this field. Please enter valid data.

Sacraments Received

Please check all that apply

Baptism First Communion Confirmation Marriage

Marital Status REQUIRED

Please indicate your current marital status

Please fill out this field.

If married, date of marriage Please enter a date.

Occupation Please enter valid data.

Birthdate REQUIRED

Please enter your birthdate

Please fill out this field. Please enter a date.

I would like offering envelopes REQUIRED

Plese select what type offering you would like

Please fill out this field.

I am transfering from another Catholic Church

Name of Catholic Church I am coming from
If you are transfering from another Catholic Church please list the name and address of the church

Please Note:

Is there something you want us to know that isn't on the form?

If you are a one person household you may stop here.

If you have a spouse and/or children living at home please continue.

If currently married Spouse's Information

First Name Please enter valid data.

Last Name Please enter valid data.
Spouse's Birthdate
If married please enter spouse's birthdate
Please enter a date.
Spouse's Religion
Please indicate your religion
Please enter valid data.
Sacraments Received by spouse
Please check all that apply
Baptism First Communion Confirmation Marriage

If there are no children living at home you may stop here.

Children living at home (1st child)

First Name Please enter valid data.

Last Name Please enter valid data.
1st Child's Birthdate
If married please enter spouse's birthdate
Please enter a date.
1st Child's Religion
Please indicate your child's religion
Please enter valid data.
Sacraments Received by 1st Child
Please check all that apply
Baptism First Communion Confirmation
I would like offering envelopes for this child Yes No

Children living at home (2nd child)

First Name Please enter valid data.

Last Name Please enter valid data.
2nd Child's Birthdate
If married please enter spouse's birthdate
Please enter a date.
2nd Child's Religion
Please indicate your child's religion
Please enter valid data.
Sacraments Received by 2nd Child
Please check all that apply
Baptism First Communion Confirmation Marriage
I would like offering envelopes for this child Yes No

Children living at home (3rd child)

First Name Please enter valid data.

Last Name Please enter valid data.
3rd Child's Birthdate
If married please enter spouse's birthdate
Please enter a date.
3rd Child's Religion
Please indicate your child's religion
Please enter valid data.
Sacraments Received by 3rd Child
Please check all that apply
Baptism First Communion Confirmation Marriage
I would like offering envelopes for this child Yes No

Children living at home (4th child)

First Name Please enter valid data.

Last Name Please enter valid data.
4th Child's Birthdate
If married please enter spouse's birthdate
Please enter a date.
4th Child's Religion
Please indicate your child's religion
Please enter valid data.
Sacraments Received by 4th Child
Please check all that apply
Baptism First Communion Confirmation Marriage
I would like offering envelopes for this child Yes No
If you have more than 4 children please submit this form and then "reload" the form and submit a second form with the addtional children. Add a note in the space provide after the head of houeshold information to let us know that the second form is a continuation of the first form.

THE CHURCH OF ST FRANCIS OF ASSISI

Lord, make me an instrument of your peace!

Parish Registration

If you are a one person household you may stop here.

If you have a spouse and/or children living at home please continue.

If there are no children living at home you may stop here.

If you have more than 4 children please submit this form and then "reload" the form and submit a second form with the addtional children. Add a note in the space provide after the head of houeshold information to let us know that the second form is a continuation of the first form.

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