Registration Adult 1* First Middle Last Gender*MaleFemaleMarital Status*SingleMarriedWidowedDate of birth* MM slash DD slash YYYY Religion (if other than Catholic)Sacraments Received*BaptismConfirmationReconciliationFirst CommunionMatrimonyNoneAdult 2 First Middle Last GenderMaleFemaleMarital StatusSingleMarriedWidowedDate of birth MM slash DD slash YYYY Religion (if other than Catholic)Sacraments ReceivedBaptismConfirmationReconciliationFirst CommunionMatrimonyNoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Enter Email Confirm Email I would like to receive communication from the parish office through...* Text Email Both None *If you choose to receive communication, please be sure to provide a current cell phone number or email address.*Contribution Envelopes (Online Giving is also available) I would like to receive contribution envelopes.Welcome I would like to be contacted by the Welcoming CommitteeChild 1 First Last Preferred Name (if different than first name)Date of birthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleGradePre-kKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thSacraments ReceivedBaptismConfirmationReconciliationFirst CommunionNoneDate and place (church & city) of BaptismChild 2 First Last Preferred Name (if different than first name)Date of birthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleGradePre-kKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thSacraments ReceivedBaptismConfirmationReconciliationFirst CommunionNoneDate and place (church & city) of BaptismChild 3 First Last Preferred Name (if different than first name)Date of birthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleGradePre-kKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thSacraments ReceivedBaptismConfirmationReconciliationFirst CommunionNoneDate and place (church & city) of BaptismChild 4 First Last Preferred Name (if different than first name)Date of birthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleGradePre-kKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thSacraments ReceivedBaptismConfirmationReconciliationFirst CommunionNoneDate and place (church & city) of BaptismChild 5 First Last Preferred Name (if different than first name)Date of birthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleGradePre-kKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thSacraments ReceivedBaptismConfirmationReconciliationFirst CommunionNoneDate and place (church & city) of Baptism