Friday, May 22, 2020 at 4:51 PM
Bishop Sullivan has parishes working on plans to reopen our churches. We must ensure the safety of all prior to reopening. The Diocese is hopeful for early June.

Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Personal Information
Name
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Family Name (Last Name Only)
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Home Phone --
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Cell Phone --
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Email Address
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Alternative Email Address
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Other Preferred Means of Communication? Please list here.
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Is this information:
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Address
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Personal Information
Registrant Birthdate //
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Religion
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Mass Attendance (Regularly, Seldom, Never)
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Occupation
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Baptism
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Baptism Date and Place
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First Communion
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First Communion Date & Place
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Confirmation
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Confirmation Date & Place
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Married (Church, City, State)
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Date of Marriage //
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Marital Status
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Maiden Name
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Marriage recognized by Church?
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Spouse Name
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Spouse Birthdate //
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Spouse Religion
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Spouse Mass Attendance
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Spouse Occupation
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Spouse Baptism
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Spouse Baptism Date and Place
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Spouse First Communion
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Spouse First Communion Date & Place
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Spouse Confirmation
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Spouse Confirmation Date & Place
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Do you wish to discuss any matter with a priest?
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Does anyone in your household wish to become Catholic?
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Does anyone in your household need sacraments because of illness or handicap?
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Do you wish to receive monthly envelopes?
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Do you wish to have your marriage blessed?
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Children
List below unmarried children and/or anyone else living in your home
Name
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Birthday //
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Grade
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Attends CCD
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Baptism
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Baptism Date & Place
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First Communion
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First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
  •  
Name
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Birthday //
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Grade
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Attends CCD
  •  
Baptism
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Baptism Date & Place
  •  
First Communion
  •  
First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
  •  
Name
  •  
Birthday //
  •  
Grade
  •  
Attends CCD
  •  
Baptism
  •  
Baptism Date & Place
  •  
First Communion
  •  
First Communion Date & Place
  •  
Confirmation
  •  
Confirmation Date & Place
  •  
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