Parish Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Name

First Name

Last Name

Spouse

First Name

Last Name

First and Last Name(s) of Other Adult(s) in Household

First and Last Names of Child(ren) in Household

Primary Phone

Required* --

Secondary Phone

Email Address

Required*

Alternative Email Address

Home Address

Street 1

Street 2

City

State

Zip

Please let us know how we can be of assistance.

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?

Weekend Masses
Sat at 4 pm St. Ann
Sunday
8:30am St. Zepherin
10:30am St. Ann
6pm St. Zepherin

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