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Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Name of Husband
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If information is not able to be provided put "NA" in the text box.
Name of Wife
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If information is not able to be provided put "NA" in the text box.
First and Last Name(s) of Other Adult(s) in Household. Please add Date of Birth after every Name.
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If information is not able to be provided put "NA" in the text box.
First and Last Names of Child(ren) in Household. Please add Date of Birth after every Name.
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If information is not able to be provided put "NA" in the text box.
Primary Phone --
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Secondary Phone --
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Email Address
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Alternative Email Address
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Home Address
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If information is not able to be provided put "NA" in the text box.
Other Preferred Means of Communication? Please list here.
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Is this information:
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Husband Date of Birth
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If information is not able to be provided put "NA" in the text box.
Wife Date of Birth
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If information is not able to be provided put "NA" in the text box.
Which Parish would you like to register in
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Please check one
For security purposes, please enter the text that appears in the box below.
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