Join our parish community Individuals Form This form is for individuals who wish to register with the parish, as well as those who may wish to register dependants such as parents or grandparents who live in the same household. All information contained in this form will be for Parish and Diocese use only. Head of Household/Mailing Name * First Name Last Name Middle Name(s) Gender * Male Female Date of Birth * MM DD YYYY Religion * Contact Number * (###) ### #### * Home Phone Cell Phone Business Phone Email * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Mass of Choice Please choose the Sunday Mass you most frequently attend 7:15 AM 12:30 PM Member(s) of Household Please list each family member on a new line Name(s) & Information First & Last Name, Middle Name(s), Gender, Date of Birth (MM/DD/YYYY), Family Relation, Marital Status, Religion, Occupation, (###) ###-####, Email * Confirm that your entry has the same formatting as the example, especially the use of commas. Questions/Comments Thank you, we’ll be in touch with you as soon as we can!
