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Parish Registration

- Welcome

Parish Registration
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- Parish REQUIRED Saint Mary Church Saint Anthony of Padua Church Please fill out this field.
- Parishioner Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Catholic? REQUIRED Yes No Please fill out this field.
  
  Any Special Needs/Allergies we should be aware of?
- Spouse Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Nickname Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Catholic? REQUIRED Yes No Please fill out this field.
  
  Any Special Needs/Allergies we should be aware of?
- Marital Status
- Secondary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Address Line 2 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.
- First and Last Name of Other Adults in Household
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
  
  Child 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Nickname Please enter valid data.
  
  Gender
  
  Date of Birth Please enter a date.
  
  Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
  
  Lives with you? Yes No
  
  Catholic? Yes No
  
  Baptized? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Attends Religious Education? Yes No
  
  School or Work Place Please enter valid data.
  
  Any Special Needs/Allergies we should be aware of?
- You would like more information about: Parish Ministries Parish Events Faith Formation (Adults) Faith Formation (Children) Volunteer Opportunities
- I would like: To sign up for email news and notifications from Parish. To receive envelopes. To learn more about online giving.
- Were you previously registered in a parish within the Archdiocese of Boston? Yes No
- If yes, please tell us where: (include previous parish name, town/city) Please enter valid data.
- Comments or Additional Information
Submit

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