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Resident Parishioner Registration

- Parish Life

The maximum number of form submissions has been reached. This form is currently not available.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Date REQUIRED Please fill out this field. Please enter a date.
- Title
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Type of phone number
- Date of Birth Please enter valid data.
- Marital Status Please enter valid data.
- Gender
- Ethnicity (for demographic purposes), check all that apply: Asian Black Latino Middle Eastern Native American White
- IU Affiliation
- Would you like to receive donation envelopes?
- Would you like to enroll in Electronic Fund Transfer (EFT)?
- The following questions allow us to maintain your information as a registered parishioner if in the future you require documentation or proof of having received certain sacraments. They are optional.
- Are you baptized?
- Date of Baptism Please enter valid data.
- Church of Baptism Please enter valid data.
- Have you received First Communion?
- Date of First Communion Please enter valid data.
- Church of First Communion Please enter valid data.
- Have you received Confirmation?
- Date of Confirmation Please enter valid data.
- Church of Confirmation Please enter valid data.
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