Parish Membership Form

Please fill out the following information for our parish records. Contact us at with any questions.

Name *
Primary Residence *
Primary Residence
Primary/Home Phone *
Primary/Home Phone
Mobile Phone
Mobile Phone
Baptism/Chrismation Date *
Baptism/Chrismation Date
Birthday *
"Do Not Publish" List *
We typically publish your name, address, home/mobile phone numbers and email address in our parish directory. Dates of chrismation and birth are not published. Please tell us which, if any, information should NOT be published in our parish directory.
Would you like to be added to our daily email list? *
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