. . . and whoever
welcomes me, welcomes
the one who sent me
– Luke 9:48b
Welcome to St. Pat's Registration!
If you have not registered at St. Patrick's and would like to a member of the parish,
please register.
It helps us serve you – Fr. Bob
 
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     ST. PATRICK'S REGISTRATION FORM
    
      Please fill out the form and click on the "Submit" button at the bottom of page.

                                     – required         – as applicable
 
   Name:        
         LAST  FIRST  MI  
   Address:        
         STREET      
               
         CITY  STATE            ZIP    
   Telephone:      ( )   –       
           AREA      
  E-mail:        
         E-MAIL      
     
 HEAD(S) OF HOUSEHOLD  
   
     
    NAME     NAME
     
    MAIDEN NAME     MAIDEN NAME
                 
    DATE OF BIRTH     DATE OF BIRTH
     
    RELIGION     RELIGION
     
    OCCUPATION     OCCUPATION
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
MARRIED BY A PRIEST:  
MARRIAGE DATE:      
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
MARRIED BY A PRIEST:  
MARRIAGE DATE:      
                 
     
    TALENTS/MINISTRY     TALENTS/MINISTRY
     
    WHAT ARE YOUR NEEDS?     WHAT ARE YOUR NEEDS?
 CHILDREN / RELATIVE  
     
    NAME     NAME
                 
    DATE OF BIRTH     DATE OF BIRTH
     
    RELIGION     RELIGION
     
   OCCUPATION    OCCUPATION
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
   IF CHILD, GRADE LEVEL:           IF CHILD, GRADE LEVEL:       
     
    TALENTS/MINISTRY     TALENTS/MINISTRY
     
    WHAT ARE YOUR NEEDS?     WHAT ARE YOUR NEEDS?
     
    NAME     NAME
                 
    DATE OF BIRTH     DATE OF BIRTH
     
    RELIGION     RELIGION
     
    OCCUPATION     OCCUPATION
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
   IF CHILD, GRADE LEVEL:           IF CHILD, GRADE LEVEL:       
     
    TALENTS/MINISTRY     TALENTS/MINISTRY
     
    WHAT ARE YOUR NEEDS?     WHAT ARE YOUR NEEDS?
     
    NAME     NAME
                 
    DATE OF BIRTH     DATE OF BIRTH
     
    RELIGION     RELIGION
     
   OCCUPATION    OCCUPATION
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
  YES NO
BAPTIZED:  
FIRST EUCHARIST:  
CONFIRMATION:  
   IF CHILD, GRADE LEVEL:           IF CHILD, GRADE LEVEL:       
     
    TALENTS/MINISTRY     TALENTS/MINISTRY
     
    WHAT ARE YOUR NEEDS?     WHAT ARE YOUR NEEDS?
 
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