Parish registration Family Name* Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TelephoneEmail* Parish you would like to join* Holy Name St. Francis St. Lawrence Adult family membersName Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Name Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Marriage Type* Single Catholic Marriage Civil Marriage Divorced Widowed If Civil Marriage, would you like your Marriage blessed? If divorced, would you like an annulment? Please see Fr. Mike If you are interested in receiving Sacraments, please see Fr. MikeFamily membersName Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Name Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Name Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Name Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation Name Date of Birth MM slash DD slash YYYY Baptism First Communion Confirmation PhoneThis field is for validation purposes and should be left unchanged.
