Parish Registration

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

Street 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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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

Reason for joining the parish REQUIRED Please fill out this field.

Male Head of Household

First Name Please enter valid data.

Last Name Please enter valid data.

Nick Name Please enter valid data.

Date of birth (Month, day, Year) Please enter valid data.

Sex REQUIRED Please fill out this field.

Email Please enter an email address.

Phone Number Please enter a phone number.

Religion Please enter valid data.

Marital Status

Is your marriage recognized by the Catholic Church? REQUIRED Yes No N/A Please fill out this field.

Sacraments Received: Check all that apply None Baptized First Holy Communion Confirmation

Ethnicity REQUIRED Please fill out this field.

Would you like to be added to St. Edward's Email & Text system? Y/N (Email & cell number required) Please enter valid data.

Would you like to be contacted by the Pastor in reference to Marriage or Marriage Con-validation? Y/N Please enter valid data.

Would you (or a member of your household) like to be learn more about any of these ministries? Altar Server EMHC/EMHC Home Bound Lector Music/Choir Religious Education Usher Youth Group Other ___________________________________

Female Head of Houehold

First Name Please enter valid data.

Last Name Please enter valid data.

Nick Name Please enter valid data.

Date of birth (Month, day, Year) Please enter valid data.

Sex

Email Please enter an email address.

Phone Number Please enter a phone number.

Religion REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received: Check all that apply None Baptized First Holy Communion Confirmation

Ethnicity

Would you like to be added to St. Edward's Email & Text system? Y/N (Email & cell number required) Please enter valid data.

Parish Registration

Contact Us

Archdiocese

Media

Mainstream popular Catholic sites