Read the daily quote from Pope Francis

 

Register

 

Registration Form

Please print and fill out this form and submit to the Parish Office if you wish to become a new registered parishioner or if you have a name or address change.

PLEASE PRINT

New

Change

 

Mr.

Mrs.

Mr. & Mrs.

Miss

Ms.

 

First Name(s):

 

Last Name:

 

Street Address:

 

City:

 

State:

 

ZIP Code:

 

Phone Number:

 

EMail Address:

  

Primary Language Spoken:

 

Name(s) of Children and Date of Birth and Sex:

 

Name:

Male/Female:                          Date of Birth:                              

 

 

 

 

 

 

 

 

 

 

 

 
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