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Join Our Parish

- About

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- Title REQUIRED Please fill out this field.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
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- Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- His
  
  Employer Please enter valid data.
  
  Occupation Please enter valid data.
  
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  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
- Hers
  
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  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
- Below, please list all members of your household, including yourself.
- Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Household REQUIRED Please fill out this field.
  
  Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Spouse (if applicable)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Family Member #1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Marital Status
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Will this child need to attend CCD/Sunday school? (if school age)
  
  current grade level (if applicable)
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Family Member #2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Marital Status
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Will this child need to attend CCD/Sunday school? (if school age)
  
  current grade level (if applicable)
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Family Member #3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Marital Status
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Will this child need to attend CCD/Sunday school? (if school age)
  
  current grade level (if applicable)
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Family Member #4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Marital Status
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Will this child need to attend CCD/Sunday school? (if school age)
  
  current grade level (if applicable)
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Family Member #5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to Household
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender
  
  Marital Status
  
  Religious Affiliation (Catholic, Baptist, Methodist, Atheist, etc.) Please enter valid data.
  
  Will this child need to attend CCD/Sunday school? (if school age)
  
  current grade level (if applicable)
  
  Sacraments Received Baptism Penance First Communion Confirmation Marriage
  
  Do you wish to receive contribution envelopes?
- Parish Activities - please mark any parish activities you or members of your household may have interest in participating in. Adoration Parish Council Altar Server Pastoral Plan Baking Prince of Peace Cemetery Bereavement Shut-ins CCD Choir Collection Counter Small Group Discussions St. Bartholomew Society Grounds work Usher St. Benedict School Lector Youth
- Would you like to be added to our FlockNote account? REQUIRED Please fill out this field.
- Other Comments or Questions?
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