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 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  
  •  
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  
  •  
3rd FAMILY MEMBER INFORMATION
Name
  •  
Gender
  •  
Role/Relationship
  •  
Describe (if Other)
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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 --
  •  
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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