Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Head of Household Information
Cabeza de la Familia
Name
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Home Address
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D.O.B. //
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Home# --
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Cell# --
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Email
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Alt Email
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Spouse's Information
Información del Esposo(a)
Name
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D.O.B. //
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Cell# --
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Email
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Children's Information (Under 18 years of age)
Información Sobre los Hijos (menores de 18 años)
1. Name and D.O.B.
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2. Name and D.O.B.
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3. Name and D.O.B.
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4. Name and D.O.B.
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5. Name and D.O.B.
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Additional Comments
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This Information is a(n):
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