Parish Registration Form Family InformationFamily Name Phone Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountry Member 1Select HusbandWifeAdultMotherFatherIn-LawSonDaughterFoster/Step ChildRelativeGrandchildOtherTitle First Name and Middle Initial Last Name Suffix "Goes By" Name Male/Female MaleFemaleMaritial Status MarrriedDivorcedWidowedSeparatedSingleCell Phone Email Birthday Baptism YesNo1st Communion YesNoConfirmation YesNoDate of Marriage Married in the Catholic Church YesNoReligion Occupation Place of Employment Work Phone Name of School, if student Grade Special Circumstances Member 2Select HusbandWifeAdultMotherFatherIn-LawSonDaughterFoster/Step ChildRelativeGrandchildOtherTitle First Name, Middle Initial Last Name Suffix "Goes By" Name Male/Female MaleFemaleMaritial Status MarriedDivorcedWidowedSeparatedSingleCell Phone Email Birthday Baptism YesNo1st Communion YesNoConfirmation YesNoDate of Marriage Married in the Catholic Church YesNoReligion Occupation Place of Employment Work Phone Name of School, if student Grade Special Circumstances Member 3Select HusbandWifeAdultMotherFatherIn-LawSonDaughterFoster/Step ChildRelativeGrandchildOtherTitle First Name, Middle Initial Last Name Suffix "Goes By" Name Male/Female MaleFemaleMarital Status MarriedDivorcedWidowedSeparatedSingleCell Phone Email Baptism YesNo1st Communion YesNoConfirmation YesNoDate of Marriage Married in the Catholic Church YesNoReligion Occupation Place of Employment Work Phone Name of School, if student Grade Special Circumstances Member 4Select HusbandWifeAdultMotherFatherIn-LawSonDaughterFoster/Step ChildRelativeGrandchildOtherTitle First Name, Middle Initial Last Name Suffix "Goes By" Name Male/Female MaleFemaleMaritial Status MarriedDivorcedWidowedSeparatedSingleCell Phone Email Birthday Baptism YesNo1st Communion YesNoConfirmation YesNoDate of Marriage Married in the Catholic Church YesNoReligion Occupation Place of Employment Work Phone Name of School, if student Grade Special Circumstances Member 5Select HusbandWifeAdultMotherFatherIn-LawSonDaughterFoster/Step ChildRelativeGrandchildOtherTitle First Name, Middle Initial Last Name Suffix "Goes By" Name Male/Female MaleFemaleMaritial Status MarriedDivorcedWidowedSeparatedSingleCell Phone Email Birthday Baptism YesNo1st Communion YesNoConfirmation YesNoDate of Marriage Married in the Catholic Church YesNoReligion Occupation Place of Employment Work Phone Name of School, if student Grade Special Circumstances VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
