Please complete the form below. Click the Submit button when done and your registration will be e-mailed to the parish office. You will receive a confirmation from the Parish staff.

Family last name

Mailing label for head(s) of household should read:
(example, Joe and Susan Smith)

Street address

Mailing address if different from street address
(Example: Post Office Box 1312)

City   State   Zip Code

Home phone (The parish will not release telephone numbers)

Is this a listed number? Yes   No

E-mail Address

Would you like to receive parish news and announcements via e-mail?
Yes   No

# of adults at this residence     # of children at this residence 

Are you interested in receiving the Diocesan Newspaper (The Beacon)
for $30 per year? Yes   No

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