Family Registration

Welcome to St. Patrick Parish!

Please type your information or question below.

Family Registration
Name
  •  
Address
  •  
Primary Phone --
  •  
Emergency Phone --
  •  
Primary E-mail
  •  
Family Registration Comments
  •  

Add comments here
Individual Member Information
Name
  •  
Individual Member Name
Birth Date //
  •  
Mobile Phone --
  •  
E-mail
  •  
Baptized Date  
  •  
Reconciliation Date  
  •  
Eucharist Date  
  •  
Confirmed Date  
  •  
Marital Status
  •  
Catholic Marriage
  •  
Gender
  •  
Spouse Name
  •  
Spouse Birth Date //
  •  
Spouse Mobile Phone --
  •  
Spouse E-mail
  •  
Spouse Baptism Date  
  •  
Spouse Eucharist Date  
  •  
Spouse Reconciliation Date  
  •  
Spouse Confirmation Date  
  •  
Spouse Gender
  •  
Individual Member Comments
  •  

Add any comments here
Dependent Children Information
1. Child Name
  •  
1. Child Gender
  •  
1. Birth Date //
  •  
1. Birth Place
  •  
1. Baptism Date  
  •  
1. Eucharist Date  
  •  
1. Reconciliation Date  
  •  
1. Confirmation Date  
  •  
2. Child Name
  •  
2. Child Gender
  •  
2. Birth Date //
  •  
2. Birth Place remaining
  •  
2. Baptism Date  
  •  
2. Eucharist Date  
  •  
2. Reconcilation Date  
  •  
2. Confirmation Date  
  •  
3. Child Name
  •  
3. Child Gender
  •  
3. Birth Date //
  •  
3. Birth Place remaining
  •  
3. Baptism Date  
  •  
3. Eucharist Date  
  •  
3. Reconciliation Date  
  •  
3. Confirmation Date  
  •  
Dependent Children Comments
  •  

Add any comments re children here
 
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