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.

All information is confidential

Household Information
Surname (Family Name)
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Primary Phone --
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Secondary Phone --
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Email Address
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 Email is our primary means of contacting you. If you do not have an email address, please note you may not be notified in a timely manner should we need to contact you.
Alternative Email Address
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Home Address
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Head of Household Status:
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Head of Household Information
Parish Status
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Role
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Name
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Nickname
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Maiden Name
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 if applicable
Gender
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Date of Birth //
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Home Phone --
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Cell Phone --
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First Language
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Occupation
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Employer
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Work Phone -- ext
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Sacramental Information
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Marital Status
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Dates of Sacraments Received
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 Please provide the dates (if known) for Sacraments checked above.
Mass
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 Which Mass does your family generally attend?
Spousal Information
Complete this section only if there is a second adult (spouse) in the household.
Parish Status
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Role
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Name
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Nickname
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Gender
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Maiden Name
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Date of Birth //
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Cell Phone --
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First Language
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Occupation
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Employer
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Work Phone -- ext
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Sacramental Information
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Marital Status
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Valid Catholic Marriage?
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Dates of Sacraments Received
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 Please provide the dates (if known) for Sacraments checked above.
1st Dependent Child Information
(Optional) Complete only if there is a dependent child living in the household.
Relationship
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Name
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Gender
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Date of Birth //
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Birthplace
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Sacramental Information
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Dates of Sacraments Received
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 Please give the dates (if known) for Sacraments checked above.
2nd Dependent Child Information
(Optional) Complete only if there is a 2nd dependent child living in the household.
Relationship
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Name
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Gender
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Date of Birth //
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Birthplace
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Sacramental Information
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Dates of Sacraments Received
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 Please provide the dates (if known) for Sacraments checked above.
3rd Dependent Child Information
(Optional) Complete only if there is a 3rd dependent child living in the household.
Relationship
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Name
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Gender
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Date of Birth //
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Birthplace
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Sacramental Information
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Dates of Sacraments Received
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 Please provide the dates (if known) for Sacraments checked above.
4th Dependent Child Information
(Optional) Complete only if there is a 4th dependent child living in the household.
Relationship
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Name
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Gender
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Date of Birth //
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Birthplace
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Sacramental Information
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Dates of Sacraments Received
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 Please provide the dates (if known) for Sacraments checked above.
5th Dependent Child Information
(Optional) Complete only if there is a 5th dependent child living in the household.
Relationship
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Name
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Gender
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Date of Birth //
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Birthplace
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Sacramental Information
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Dates of Sacraments Received
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 Please provide dates (if known) for Sacraments checked above.
Additional Members?
Names
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 Please list the names of additional adults or children in your household.
A member of our staff will contact you to obtain the information for the additional members of your household. Please indicate below when and how you would like to be contacted.
I prefer
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Thank You!
Homebound Members
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Donation Envelope Frequency
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Is this information:
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You are almost done! Thank you for registering with St. Albert the Great Parish. Welcome to the community! Don't forget to click the "Submit" button below.
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