How do I Register?

Family Name Please enter valid data.

How should mail be addresssed? (e.g. Mr. & Mrs. John Jones) Please enter valid data.

Mailing 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.

Home Phone Number Please enter a phone number.

His Mobile Phone Number Please enter a phone number.

Her Mobile Phone Number Please enter a phone number.

Church Attendance Frequent Regular Occasional Seldom

Marital Status Church Marriage Civil Marriage Single Divorced Separated Widow Living together

About Your Family

Head of Family

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

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

Birth Date REQUIRED Please fill out this field. Please enter a date.

Email REQUIRED

If no email, enter "none@noemail.com

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

Work Place & Occupation Please enter valid data.

Work Phone Please enter a phone number.

Spouse

First Name Please enter valid data.

Last Name Please enter valid data.

Birth Date REQUIRED Please fill out this field. Please enter a date.

Email Please enter an email address.

Work Phone Please enter a phone number.

Marriage Date Please enter a date.

Children

Please enter Name, Birthdate, & Sex of each child

Sacraments

Please list sacraments and years received for each member of the family

Giving

Would you like us to send envelopes to your home? Yes No

Welcome to our family of Faith