Parish Registration Form

Thank you for Registering!

Name *
Spouse's Name
Phone *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email
What time do you attend Mass? *
8:30 a.m11:30 a.m5:30 p.m
Do you have children?
Please list them.
Check any that you or your child (children) are enrolled in our parish:
SchoolReligious EducationConfirmacionRCIA

Verification

Please enter any two digits *Example: 56
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