Parish Registration

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.

Zip REQUIRED Please fill out this field. Please enter an integer (number).

Home Phone REQUIRED Please fill out this field. Please enter valid data.

Email Please enter an email address.

Head of Household

Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter valid data.
Religion Please enter valid data.
Marital Status
Sacraments Received
Select Highest Level
Baptism First Communion Confirmation Marriage
Church of Baptism Please enter valid data.
City of Baptism Please enter valid data.
State of Baptism
Occupation Please enter valid data.

Spouse [if any]

Name Please enter valid data.
Date of Birth Please enter valid data.
Religion Please enter valid data.
Marital Status
Sacraments Received
Select Highest Level
Baptism First Communion Confirmation Marriage
Church of Baptism Please enter valid data.
City of Baptism Please enter valid data.
State of Baptism
Occupation Please enter valid data.

Child/Other Member

Child/Other Member

Child/Other Member

Child/Other Member

St. James the Apostle