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Please fill out the Parishioner Registration Form and then click Submit. New Registration Update Registration First Name: Last Name: Address: City:     State:    Zip Code: Email: Home Phone: Work Phone: Other Family Member Information Name Male/Female How Related Birthday (MM/DD/YY) Baptized Confirmed Marriage Date (MM/DD/YY) Occupation Work Phone School Grade Religion Marital Status 1. MaleFemale YesNo YesNo 2. MaleFemale YesNo YesNo 3. MaleFemale YesNo YesNo 4. MaleFemale YesNo YesNo 5. MaleFemale YesNo YesNo Contribution Preference:Electronic Giving(Parish Pay)Weekly EnvelopeOnce-a-month Envelope Are there members in your family with special needs? If Yes, which members? Do you have any other needs of which you would like to make the parish staff aware of? Are there parish ministries that interest you? May we contact you in regards to your interest? Any Comments or Information for the parish staff:

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