If you were not baptized at one of our Parishes, please include a copy of your baptism certificate with your registration. "*" indicates required fields What Parish would you like to join?* Holy Cross Our Lady of the Rosary St. Christopher St. John the Baptist St. Peter Name (Head of Household)* Mr.Mrs.MissMs.Dr.Prof.Rev.specify Military Prefix First Last 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 Phone Number*Unlisted* Yes No Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Catholic Yes No Marital Status*SingleMarriedSeparatedDivorcedWidow/WidowerSpouse* Mr.Mrs.MissMs.Dr.Prof.Rev.specify Military Prefix First Last Date of Birth (Spouse)*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Catholic (Spouse) Yes No ChildrenBaptism CertificateMax. file size: 512 MB.To avoid problems or misunderstandings, especially when planning Baptisms, Marriages, or if you have special requests for the parish, etc., please be sure that you are registered and are an active member of the parish. If you answer “yes” to any of the questions below and are not registered, please do so today.Have you moved away from your parental home?* Yes No Are you newly married or starting your own family?* Yes No Are you living with your parents, but over eighteen?* Yes No Do you have a change in your marriage status?* Yes No PhoneThis field is for validation purposes and should be left unchanged.
