St Mary Magdalen 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 will be kept confidential.

Is this information:
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Please select one.
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Family Last Name
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Primary Phone --
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Home Address
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Mailing Address
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(if different)
For security purposes, please enter the text that appears in the box below.
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Male Head of Household
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Date of Birth //
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E-mail
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Cell Phone --
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Occupation
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Religion
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Sacraments Received:
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Female Head of Household
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Maiden Name
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Date of Birth //
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Email
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Cell Phone --
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Occupation
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Religion
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Sacraments Received:
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Children under 18 years living at home:
Use full legal name
Name
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Birthday //
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Gender
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Baptized
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1st Eucharist
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Confirmation
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Name
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Birthday //
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Gender
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Baptized
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1st Eucharist
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Confirmation
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Name
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Birthday //
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Gender
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Baptized
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1st Eucharist
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Confirmation
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First and Last Name(s) of Other Adult(s) in Household
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Contribution Information
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Additional Information
Are you an adult who needs information about Baptism, First Communion, or Confirmation?
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Do you have a child older than 7 you want baptized?
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