Parish Registration

Enter those in your household below

Full Name of Adult 1

Sex

Date of Birth

Sacraments

Baptism

Confirmation (Catholic)

Marriage

Marital Status

Wedding Date

Occupation

Full Name of Adult 2

Sex

Date of Birth

Sacraments

Baptism

Confirmation (Catholic)

Marriage

Marital Status

Occupation

Full Name of Child 1

Sex

Date of Birth

Grade

School

Sacraments

Baptism

First Reconciliation

First Communion (Catholic)

Confirmation (Catholic)

Full Name of Child 2

Sex

Date of Birth

Grade

School

Sacraments

Baptism

First Reconciliation

First Communion (Catholic)

Confirmation (Catholic)

Full Name of Child 3

Sex

Date of Birth

Grade

School

Sacraments

Baptism

First Reconciliation

First Communion (Catholic)

Confirmation (Catholic)

Full Name of Child 4

Sex

Date of Birth

Grade

School

Sacraments

Baptism

First Reconciliation

First Communion (Catholic)

Confirmation (Catholic)

Full Name of Child 5

Sex

Date of Birth

Grade

School

Sacraments

Baptism

First Reconciliation

First Communion (Catholic)

Confirmation (Catholic)

Anyone Else?

Sex

Relationship to Household

Further information on this person

Your contact info:

Email 1

Email 2

Would you like to receive our weekly e-newsletter?

Phone number

Please enter your full address:

Street Address

City

State

Zip Code

Anything else we should know?

Success! That wasn't so bad, was it? We'll enter your information into the database, unless you're that guy stalking Fr. Liekhus, in which case: leave him alone! Anywho, you'll receive an e-mail from Mary Fran, our wonderful Director of Ministries. Welcome to the parish!