Registration in the Parish

Click Submit Form to send this information to St Patrick Church. The areas for members 1-4 are for children and other people living in your home.


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*Required fields

*Registration Option   Register a New Family    Update an Existing Family *ID/Env:  
          Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Mailing Address
Line 1
Line 2
City
State
ZIP

Family Phone Numbers
*Primary ( ) Unlisted
  Other ( ) Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Member 2   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Member 3   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Member 4   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) Unlisted
  Phone 2 ( ) Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage

Click Submit Form to send this information to St. Patrick Church.