Become a Member (Registration)

Registration Type: New Registration Update / Correction
Do you wish to receive envelopes?
Yes No
or do you wish to receive Electronic Giving information?
Yes No
Do you wish to receive the Star Herald?
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Personal Information & Address

INSTRUCTIONS: Please fill out a separate form for each family, or unrelated person living in your household. Include students, military personnel or other living away from home temporarily.
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No

Children, beginning with the oldest:

Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No

Other related person(s) living at home/Relationship

Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
Sex:
Male Female
Race or Origin
Marital Status
Is marriage recognized by the Catholic Church?
Yes No
Baptized?
Yes No
Confirmed?
Yes No
Catholic?
Yes No
** Information voluntarily provided about race and/or origin is used to plan for and better serve the pastoral needs of the Diocese

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