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New Parishioner Registration

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- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Address/P.O. Box 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.
- Husband's Name Please enter valid data.
- Husband's Cell Phone Number Maximum 20 characters Please enter a phone number.
- Husband's Email Please enter an email address.
- Religion Please enter valid data.
- Wife's Name Please enter valid data.
- Wife's Last Name (if different from husband's last name) Please enter valid data.
- Wife's Cell Phone Number Maximum 20 characters Please enter a phone number.
- Wife's Email Please enter an email address.
- Religion Please enter valid data.
- Please list each child living at home
  
  Child 1
  
  Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School/Grade Please enter valid data.
  
  Relationship Please enter valid data.
- Child 2
  
  Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School/Grade Please enter valid data.
  
  Relationship Please enter valid data.
- Child 3
  
  Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School/Grade Please enter valid data.
  
  Relationship Please enter valid data.
- Child 4
  
  Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  School/Grade Please enter valid data.
  
  Relationship Please enter valid data.
- Would you like to join our Parish Email List? Yes
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St. Joseph Catholic Church

One Bread, One Body

New Parishioner Registration