Join our Church.&lt;div&gt;REGISTER TO Become a member!&lt;/div&gt;

Family (Last) Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Mailing Address (if different than above) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Primary Email REQUIRED Please fill out this field. Please enter an email address.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Marital Status REQUIRED Single Married Divorced Separated Widowed Please fill out this field.

Would you like to receive The Catholic Herald? REQUIRED Yes No Please fill out this field.

Husband (or Male Head): Full Name Please enter valid data.

Husband (or Male Head): Date of Birth Please enter a date.

Husband (or Male Head): Religion Please enter valid data.

Husband (or Male Head): Occupation Please enter valid data.

Husband (or Male Head): Cell Phone Number Please enter a phone number.

Husband (or Male Head): Email Please enter an email address.

Husband (or Male Head): Baptized? Yes No

Husband (or Male Head): Date of Baptism Please enter a date.

Husband (or Male Head): Place of Baptism Please enter valid data.

Husband (or Male Head): Confirmed? Yes No

Husband (or Male Head): Date of Confirmation Please enter a date.

Husband (or Male Head): Place of Confirmation Please enter valid data.

Husband (or Male Head): Married? Yes No

Husband (or Male Head): Date of Marriage Please enter a date.

Husband (or Male Head): Place of Marriage Please enter valid data.

Husband (or Male Head): Please list any previous marriages, divorces, and/or annulments

Wife (or Female Head): Full Name Please enter valid data.

Wife (or Female Head): Date of Birth Please enter a date.

Wife (or Female Head): Religion Please enter valid data.

Wife (or Female Head): Occupation Please enter valid data.

Wife (or Female Head): Cell Phone Number Please enter a phone number.

Wife (or Female Head): Email Please enter an email address.

Wife (or Female Head): Baptized? Yes No

Wife (or Female Head): Date of Baptism Please enter a date.

Wife (or Female Head): Place of Baptism Please enter valid data.

Wife (or Female Head): Confirmed? Yes No

Wife (or Female Head): Date of Confirmation Please enter a date.

Wife (or Female Head): Place of Confirmation Please enter valid data.

Wife (or Female Head): Married? Yes No

Wife (or Female Head): Date of Marriage Please enter a date.

Wife (or Female Head): Place of Marriage Please enter valid data.

Wife (or Female Head): Please list any previous marriages, divorces, and/or annulments

Child #1 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #2 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #3 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #4 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #5 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #6 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #7 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Child #8 (Please provide: Full Name, Date of Birth, Sex, School & Grade, Religion, Baptism Date & Place)

Do you have any questions? Is there any specific information that you are looking for? REQUIRED Please fill out this field.

Join our Church.
REGISTER TO Become a member!

Online Registration

Hardcopy Registration (If preferred, please print and return to the church office)

Join our Church.REGISTER TO Become a member!

Join our Church.
REGISTER TO Become a member!