Parish Registration

Personal Information

First Name

Middle Name(s)

Last Name

Maiden Name

Sex

Male

Female

Date of Birth

Religion

Occupation

Phone Number

Phone Type Phone Type

Phone Number

Phone Type Phone Type

Email

Address

City

Province

Postal Code

Date of Marriage

City of Marriage

Type of Marriage

Roman Catholic Church

Other Christian Church

Civil

Name of Church

Denomination

Location

Add Another Family Member?

Yes

No

Family Member 2

Family Member 3

Family Member 4

Family Member 5

Family Member 6

Family Member 7

Family Member 8

Family Member 9

Family Member 10

I would like information about donation options

I wish to receive communion at home

I would like to become involved in ministry

I would like to learn more about sacraments (Baptism, First Communion, Confirmation, and/or Marriage)

We would like information about donation options

We have a family member who wishes to receive communion at home

One or more family members would like to become involved in ministry

We would like to learn more about sacraments (Baptism, First Communion, Confirmation, and/or Marriage)

Parish Registration

Personal Information

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