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Registration Option
REQUIRED
(Select One)
Register New Family
Update Existing Family
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Head of Household
Last Name
REQUIRED
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Please enter valid data.
First Name
REQUIRED
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Please enter valid data.
Middle Name
Please enter valid data.
Maiden Name
Please enter valid data.
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
Birthdate (mm/dd/yyyy)
REQUIRED
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Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
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Occupation
Please enter valid data.
Language
REQUIRED
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Please enter valid data.
Marital Status
REQUIRED
(Select One)
Catholic Marriage
Civil Marriage
Divorced
Engaged
Living Together
Separated
Single
Widowed
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Religion
REQUIRED
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Please enter valid data.
Phone (primary)
REQUIRED
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Please enter valid data.
Phone (2)
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Email (primary)
REQUIRED
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Please enter an email address.
Send email instead of mail when possible
Yes, please
Sacraments
Baptism
REQUIRED
(Select One)
Yes
No
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Date (mm/dd/yyyy) and Location of Baptism (Church, City, State)
Please enter valid data.
First Communion
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of First Communion
Please enter valid data.
Confirmation
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of Confirmation
Please enter valid data.
Marriage
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of Marriage
Please enter valid data.
Spouse/Adult
Title
REQUIRED
(Select One)
Spouse
Partner
Other
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Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
Maiden Name
Please enter valid data.
Suffix
None
Sr.
Jr.
II
III
IV
V
VI
VII
VIII
XV
X
Birthdate (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Male
Female
Please fill out this field.
Occupation
Please enter valid data.
Language
REQUIRED
Please fill out this field.
Please enter valid data.
Marital Status
REQUIRED
(Select One)
Catholic Marriage
Civil Marriage
Divorced
Engaged
Living Together
Separated
Single
Widowed
Please fill out this field.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Phone (primary)
REQUIRED
Please fill out this field.
Please enter valid data.
Phone (2)
Please enter valid data.
Email (primary)
REQUIRED
Please fill out this field.
Please enter an email address.
Sacraments
Baptism
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location of Baptism (Church, City, State)
Please enter valid data.
First Communion
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of First Communion
Please enter valid data.
Confirmation
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of Confirmation
Please enter valid data.
Marriage
REQUIRED
(Select One)
Yes
No
Please fill out this field.
Date (mm/dd/yyyy) and Location (Church, City, State) of Marriage
Please enter valid data.
Street Address
REQUIRED
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Please enter valid data.
Mailing Address (if different from above)
Please enter valid data.
Children
Please list the name (first and last) and birthdate (mm/dd/yyyy) for each child in your family. If none, please state NONE.
Name and Birthdate
REQUIRED
Please fill out this field.
