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Please Choose One New Parishioner Current Parishioner Updating Contact Information

Head of House Hold(s) REQUIRED Please fill out this field. Please enter valid data.

Spouse Please enter valid data.

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

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.

Home Phone Number Please enter a phone number.

Cell Phone Number Please enter a phone number.

Email Please enter an email address.

Names of children living at home and their birth dates.

example:
Name: Mary Louise Smith
Date of Birth - 08/14/97

Child 1 Name Please enter valid data.

Child 1 Date of Birth Please enter valid data.

Child 2 Name Please enter valid data.

Child 2 Date of Birth Please enter valid data.

Child 3 Name Please enter valid data.

Child 3 Date of Birth Please enter valid data.

Child 4 Name Please enter valid data.

Child 4 Date of Birth Please enter valid data.

Child 5 Name Please enter valid data.

Child 5 Date of Birth Please enter valid data.

Child 6 Name Please enter valid data.

We print month new parishioners. By choosing yes, you and your families name will be mentioned in the bulletin as a new parishioner. Choosing no, means we will omit you from the list. REQUIRED Yes No Please fill out this field.

We use Mail Chimp for Parish Updates, and when there is a change to Mass schedules due to COVID as needed. Choose yes if you would like to be added to our weekly news, and Important Parish updates. REQUIRED Yes No Please fill out this field.

Want Envelopes? Yes No

Moving Out of Parish? Yes No