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Parishioner Registration

Registration Form

"*" indicates required fields

Step 1 of 4

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All Parishioners, 18 years of age and older, should complete this form. Our Policy is that the information on this form will only be used by the Parish and Archdiocese.

Who is completing this form?*

Husband

Wife

Single Male

Single Female

Mailing Information

Family Last Name*

Mailing Title*

(e.g. John & Carol Smith)

Address*

Street Address City Province Postal Code

Home Phone*

YOUR Personal Information

Full Name*

Gender*

M

F

Birth Date

YYYY slash MM slash DD

Cell Phone

Business Phone

Email*

Religion

Occupation

Languages

Marital Status*

Single

Married

Widowed

Separated

Divorced

Common-law

SPOUSE'S Personal Information

Full Name*

Birth Date

YYYY slash MM slash DD

Cell Phone

Business Phone

Email*

Religion

Occupation

Languages

Children at Home

Children

Name

Gender

Birth Date (Y/M/D)

Email

Donation Envelopes OR Automatic Bank Withdrawal

If you wish to donate through either of these methods, please check the appropriate box:

Donation envelopes (For income tax purposes)

Automatic bank withdrawal

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Closed: Noon -1 pm
Closed Saturday, Sunday & Statutory holidays

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