Parish Registration

Name*

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Gender*

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Ethnicity

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Language*

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Employer / Occupation

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Work Phone

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Address*

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Please provide your address city

Please provide your ZIP/postal code

Phone

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Date of Birth*

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Please provide your address state/province/region

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Email*

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Spouse

Full Name*

Provide child's full name

Gender*

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Date of Birth*

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Ethnicity

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Phone

Please provide a valid phone number

Religion*

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Language

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Email*

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Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 1

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

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Gender*

Male Female Invalid Input

Language

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Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 2

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

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Gender*

Male Female Invalid Input

Language

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Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 3

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

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Gender*

Male Female Invalid Input

Language

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Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 4

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

Invalid Input

Gender*

Male Female Invalid Input

Language

Invalid Input

Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 5

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

Invalid Input

Gender*

Male Female Invalid Input

Language

Invalid Input

Sacraments Received

Baptism First Communion Confirmation Invalid Input

Child 6

Full Name*

Provide child's full name

Date of Birth*

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Current Grade

Provide child's current grade

Ethnicity

Invalid Input

Gender*

Male Female Invalid Input

Language

Invalid Input

Sacraments Received

Baptism First Communion Confirmation Invalid Input

Additional Information

Would you like to receive offertory envelopes?*

Yes No Please select one

Is there anyone who is homebound?*

Yes No Please select one

What attracted you to St. Joan of Arc Catholic Parish?

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Are there any activities you enjoyed in a previous parish?

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Do you permit photos of you or your family members to be used in the bulletin, website or other church related materials?*

Yes No Please select one