Parish Registration Form

Please choose which parish you wish to register in REQUIRED St. Mary St. Thomas Aquinas Please fill out this field.

Were you previously registered here? REQUIRED Yes No Please fill out this field.

Date of registration REQUIRED Please fill out this field. Please enter a date.

Family Name REQUIRED Please fill out this field. Please enter valid data.

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

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 REQUIRED Please fill out this field. Please enter an email address.

Husband's Cell# Please enter a phone number.

Wife's Cell# Please enter a phone number.

Adult Male/Husband

First Name REQUIRED Please fill out this field. Please enter valid data.

Last 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 REQUIRED Please fill out this field. Please enter valid data.
Marital Status/Date REQUIRED Please fill out this field. Please enter valid data.
Confirmed/Date REQUIRED Please fill out this field. Please enter valid data.

Adult Female/Wife (First and Maiden Name)

First Name REQUIRED Please fill out this field. Please enter valid data.

Last 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 REQUIRED Please fill out this field. Please enter valid data.
Marital Status/Date REQUIRED Please fill out this field. Please enter valid data.
Confirmed/Date REQUIRED Please fill out this field. Please enter valid data.

Children and others in household REQUIRED Please fill out this field.
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 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.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 9
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 10
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 11
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation
Children or others in household 12
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of birth REQUIRED Please fill out this field. Please enter a date.
- Sex REQUIRED Male Female Please fill out this field.
- Date of Baptism Please enter a date.
- Date of First Communion Please enter a date.
- Date of Confirmation Please enter a date.
- Name of School or Occupation