Parishioner Registration/Change of Information

Include All Information that is Required, New or Changed

Thanks for taking the time to register your household with our parish or to update your household information.  Please complete the form and click submit.

Is This Information...
Select One
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Today's Date //
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Household Information
As Preferred on All Correspondence
Name
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Title Preference
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Address
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Preferred Phone -- ext
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Preferred E-mail
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Use of Email
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Would you like your Preferred Email used as a means of receiving timely and important information from Msgr. Antonio? Emails will be limited to approximately 6 per year.
Head of Household
Name
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Sex
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Maiden Name (if applicable)
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Marital Status
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Date of Birth //
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Religion
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Primary Phone Number -- ext
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Secondary Phone Number -- ext
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E-mail
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Use of Email
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Would you like your personal email used to receive occasional emails from Father Antonio limited to approximately 6 per year.
Sacraments Received
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Spouse (if applicable)
Name
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Sex
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Maiden Name (if applicable)
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Date of Birth //
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Marital Status
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Religion
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Primary Phone Number -- ext
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Secondary Phone Number -- ext
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E-mail
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Use of Email
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Would you like your personal email used to receive occasional emails from Father Antonio -- limited to approximately 6 per year?
Sacraments Received
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Children & Other Adults Not Registered Separately
List Others In Residence At Same Address
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Please include Names, DOB, Sex, and Sacraments Received
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