Parish Registration

Thank you for taking a moment to complete your household's information with our Rectory Office. Please fill out the form as completely as possible and then click submit. Please be sure to include a current phone number where you can be reached so that a member of our Rectory staff can reach you to confirm that your registration was received and is being processed. We look forward to speaking with you. 

Name of Husband
  •  
Name of Wife
  •  
First and Last Name(s) of Other Adult(s) in Household
  •  
First and Last Names of Child(ren) in Household
  •  
Primary Phone --
  •  
Secondary Phone --
  •  
Email Address
  •  
Alternative Email Address
  •  
Home Address
  •  
Other Preferred Means of Communication? Please list here.
  •  
Is this information:
  •  
For security purposes, please enter the text that appears in the box below.
  •