Parish Registration

Head of Household

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 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.

Email Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Please enter a phone number.

Birthdate Please enter a date.

Nativity School Family (Currently)? REQUIRED YES NO Please fill out this field.

Do you wish to receive envelopes? REQUIRED YES NO Please fill out this field.

Already have an envelope# Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.

Baptism REQUIRED YES NO Please fill out this field.

1st Communion REQUIRED YES NO Please fill out this field.

Confirmation REQUIRED YES NO Please fill out this field.

No. of Additional Family Members REQUIRED Please fill out this field.
Family Member 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.
Family Member 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED YES NO Please fill out this field.
- Marital Status REQUIRED Single Married (in Catholic Church) Married (not in Catholic Church) Please fill out this field.
- Baptism REQUIRED YES NO Please fill out this field.
- 1st Communion REQUIRED YES NO Please fill out this field.
- Confirmation REQUIRED YES NO Please fill out this field.