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Parish Registration
Thank you for your interest in joining St. Anthony’s Catholic Church. We are happy to have you here. Please fill out the form below and someone from our parish will be in touch!
Family Last Name
*
Title
Mr. & Mrs.
Mr.
Mrs.
Ms.
Miss
Dr.
Dr. & Mrs.
Mr. & Dr.
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Marital Status
Single
Church Married
Married
Widowed
Separated
Divorced
Individual Member Information
Head of Household
First
Last
Date of Birth
MM slash DD slash YYYY
Occupation
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, Confirmation) you have received and the date if known.
Sacrament
Date Received
Spouse
First
Last
Date of Birth
MM slash DD slash YYYY
Occupation
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Number of Children
Please enter a number from
0
to
6
.
Child #1
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Child #2
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Child #3
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Child #4
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Child #5
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
First Language
English
Spanish
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
Child #6
First
Last
Birthdate
*
MM slash DD slash YYYY
Birthplace
Sacramental Info
Please list which sacraments (Baptism, Reconciliation, Eucharist, & Confirmation) you have received and the date if known.
Sacrament
Date Received (if known)
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