Welcome to St. Joseph Catholic Church in Placentia. Please complete the
 online registration form if you would like to Register as a Parishioner at St.
 Joseph's.

Click Submit Form to send this information to St. Joseph Church.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
*First Name *Last Name Suffix
Relationship   Middle Name Maiden Name
  Birth Date *Gender Female   Male
  Occupation   Language Marital Status
  Religion
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   First Comm
   Baptism
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
Remarks    

Spouse
Title   First Name   Last Name Suffix
  Middle Name Maiden Name
  Birth Date   Gender Female   Male
  Occupation   Language Marital Status
  Religion
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   First Comm
   Baptism
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
Remarks    

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks

Pledges
Pledge 1   Name Weekly Sunday Collection
  Pledge for
  Start from    to   
  Frequency
  Total
  Rate

Total All Pledges = $0.00

Member 1   Type  
Title   First Name   Last Name Suffix
  Middle Name Maiden Name
  Birth Date   Gender Female   Male
  Occupation   Language Marital Status
  Religion
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   First Comm
   Baptism
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
Remarks    


Click Submit Form to send this information to St. Joseph Church.