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  • New Parishioner Registration Form

    WELCOME
  • Todays Date REQUIRED Please fill out this field. Please enter a date.
  • Family Name REQUIRED Please fill out this field. Please enter valid data.
  • Given Names REQUIRED Please fill out this field. Please enter valid data.
  • Spouses Name Please enter valid data.
  • Please list names and birth dates of any children
  • Full Mailing Address REQUIRED Please fill out this field.
  • Phone Number REQUIRED Please fill out this field. Please enter valid data.
  • e-mail Please enter valid data.
  • Please list any ministries you are interested in
  • Would you like to receive envelopes REQUIRED (Select One) Yes No Please fill out this field.
  • Comments

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