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Register as a Parishioner

- WELCOME TO ST. PATRICK'S!
  
  Need to register in the parish? Fill out the form below!
- Parish Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Household Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Salutation for Mailings REQUIRED Please fill out this field.
  
  Self
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Maiden Name Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Occupation Please enter valid data.
  
  Spouse (if applicable)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Religion Please enter valid data.
  
  DOB Please enter valid data.
  
  Gender Male Female
  
  Maiden Name Please enter valid data.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Occupation Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Anniversary Date (if married) Please enter valid data.
  
  Were you married in a Catholic Church? (if married) Yes No
  
  Family Information
  
  Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mailing Address: PO Box or Street Name/ Apt Number REQUIRED Please fill out this field. 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.
  
  Physical Address (if different from mailing) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Number of Adult Children Living at Home REQUIRED Please fill out this field.
  
  Adult Children Living at Home 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Separate Collection Envelopes? REQUIRED Yes No Please fill out this field.
  
  Adult Children Living at Home 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Separate Collection Envelopes? REQUIRED Yes No Please fill out this field.
  
  Adult Children Living at Home 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Separate Collection Envelopes? REQUIRED Yes No Please fill out this field.
  
  Adult Children Living at Home 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Separate Collection Envelopes? REQUIRED Yes No Please fill out this field.
  
  Number of Children Under 18 REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Child 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  DOB REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Grade Level Please enter valid data.
  
  Sacraments received REQUIRED Baptism 1st Reconciliation 1st Communion Confirmation None Please fill out this field.
  
  Family Stewardship
  
  In each section below, please select all the ministries that interest your family.
  
  Liturgical Ministries REQUIRED Altar Server Altar Linens Art & Entertainment Communion to the Homebound Extraordinary Minster of Holy Communion Greeter / Usher Lector Sacristans Other (please specify at end of this form) None Please fill out this field.
  
  Music Ministries REQUIRED 5pm Saturday Choir 8:30am Sunday Choir 11:30am Sunday Choir Children's Choir Instrument (please specify at end of this form) Other (specify at end of this form) None Please fill out this field.
  
  Faith Formation REQUIRED Elementary Catechist/Assistant Middle School Catechist/Assistant High School Catechist/Assistant Youth Faith Formation Substitute VBS Volunteer CGS Catechist SPRED Catechist RCIA Catechist Adult Catechist Office Help None Please fill out this field.
  
  Evangelization/Parish Life Ministries REQUIRED Bereavement Ministry CHAOS (musicals) Hospitality Knights of Columbus Legion of Mary Parish Nurse Seniors' Group Youth Ministry Team Young Adults Team Other (specify at end of this form) None Please fill out this field.
  
  Service Ministries REQUIRED Carpentry Gardeners Office Volunteer Painting Sewing - Baby Blanket / Prayer Shawls Snow Shoveling St. Francis Food Pantry - Food Delivery Other (specify at end of this form) None Please fill out this field.
  
  Other
  
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Register as a Parishioner

WELCOME TO ST. PATRICK'S!