Parish Registration

Thank you for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible (including dates of Sacraments received) and then click submit.

GENERAL INFORMATION
Family Last Name
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Today's Date //
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Date started attending SMDLP  
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Mailing Name
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Home Address
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Primary Phone --
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Emergency Phone --
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Email Address
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Alternative Email Address
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Previous Parish Registration
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Are you, or were you registered at another parish?
Previous Parish
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FAMILY STATUS/WEDDING INFORMATION
Current Family Status
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Valid Catholic Marriage?
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If married, please provide wedding date //
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Wedding Location (Name of Church or Other Location)
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Address
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Wedding Celebrant
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Denomination
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FAMILY MEMBER INFORMATION
Name
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Gender
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Head of Household
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Birthdate //
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Birthplace (City and State)
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High School Graduation Date  
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Occupation/Employer
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Phone, Alt Phone & E-Mail same as above
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Phone --
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Alternate Phone --
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E-mail
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Religion/Denomination
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First Language
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SACRAMENT INFORMATION
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Date of Baptism  
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Date of 1st Eucharist  
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Date of Confirmation  
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2nd FAMILY MEMBER INFORMATION
Name
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Gender
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Role/Relationship
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Describe (if Other)
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Birthdate //
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Birthplace (City & State)
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School Name or Occupation/Employer
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If in school, current grade Level
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High School Graduation Date  
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Phone, Alt Phone and E-mail same as above
  •  
Phone --
  •  
Alternate Phone --
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E-mail
  •  
Religion/Denomination
  •  
First Language
  •  
SACRAMENT INFORMATION
  •  
Date of Baptism  
  •  
Date of 1st Eucharist  
  •  
Date of Confirmation  
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3rd FAMILY MEMBER INFORMATION
Name
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Gender
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Role/Relationship
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Describe (if Other)
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Birthdate //
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Birthplace (City & State)
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School Name or Occupation/Employer
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If in school, current grade Level
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High School Graduation Date  
  •  
Phone, Alt Phone and E-mail same as above
  •  
Phone --
  •  
Alt. Phone --
  •  
E-mail
  •  
Religion/Denomination
  •  
First Language
  •  
SACRAMENT INFORMATION
  •  
Date of Baptism  
  •  
Date of 1st Eucharist  
  •  
Date of Confirmation  
  •  
4th FAMILY MEMBER INFORMATION
Name
  •  
Gender
  •  
Role/Relationship
  •  
Describe (if Other)
  •  
Birthdate //
  •  
Birthplace (City & State)
  •  
School Name or Occupation/Employer
  •  
If in school, current grade level
  •  
High School Graduation date //
  •  
Phone, Alt Phone and E-mail same as above
  •  
Phone --
  •  
Alternate Phone --
  •  
E-mail
  •  
Religion/Denomination
  •  
First Language
  •  
SACRAMENT INFORMATION
  •  
Date of Baptism  
  •  
Date of 1st Eucharist  
  •  
Date of Confirmation  
  •  
ADDITIONAL FAMILY MEMBERS
Information
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Please provide as much information as possible so that our records may be complete.
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