Please join us for mass as we respond to our Bishop Frank's call to COME HOME! Mask must be warn when in Church as we open up all the pews. See the mass schedule below for both Churches. GOD BLESS....
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Family Registration

Welcome to St. Patrick Parish!

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Family Registration

Name

Title

First Name*

Middle Name

Last Name*

Address

Street 1*

Street 2

City*

State*

Zip*

Primary Phone

Required* --

Emergency Phone

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Primary E-mail

Required*

Family Registration Comments

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Individual Member Information

Name

Title

First Name*

Middle Name

Last Name*

Individual Member Name

Birth Date

Required* //

Mobile Phone

Required* --

E-mail

Individual Member email*

Baptized Date

Reconciliation Date

Eucharist Date

Confirmed Date

Marital Status
Required*

	Single
	Married

Catholic Marriage

Required*

Spouse Name

Title

First Name

Middle Name

Last Name

Spouse Birth Date

Spouse Mobile Phone

Spouse E-mail

Spouse Baptism Date

Spouse Eucharist Date

Spouse Reconciliation Date

Spouse Confirmation Date

Individual Member Comments

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Dependent Children Information

1. Child Name

First Name

Middle Name

Last Name

1. Birth Date

1. Birth Place

1. Baptism Date

1. Eucharist Date

1. Reconciliation Date

1. Confirmation Date

2. Child Name

First Name

Middle Name

Last Name

2. Birth Date

2. Birth Place

remaining

2. Baptism Date

2. Eucharist Date

2. Reconcilation Date

2. Confirmation Date

3. Child Name

First Name

Middle Name

Last Name

3. Birth Date

3. Birth Place

remaining

3. Baptism Date

3. Eucharist Date

3. Reconciliation Date

3. Confirmation Date

Dependent Children Comments

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Family Registration

Welcome to St. Patrick Parish!

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