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Parish Registration

Keeping our parish database up-to-date
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  Please take time to fill out the Online forms for the Parish Registration Update and Returning Your Gifts Pledge. These will help us stay in communications with you, update our database, and continue to grow at being One in the Body of Christ.
  
  Family Mail Name REQUIRED Please fill out this field. Please enter valid data.
  
  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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden (if applicable) Please enter valid data.
  
  Date of Birth (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Gender Female Male
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Marital Status (check what applies) Married Single Divorced Married by Priest Married Outside of Church Widow / Widower
  
  Date of Marriage (mm/dd/yyyy) REQUIRED Please fill out this field. Please enter a date.
  
  Spouse
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Gender Male Female
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
  
  Baptized? Yes No
  
  Confirmed? Yes No
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Religion Please enter valid data.
  
  Email Please enter an email address.
  
  Other Members Who Live In Your Household Please fill out this field.
  
  Another Member 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Another Member 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender Male Female
  
  Date of Birth (mm/dd/yyyy) Please enter a date.
  
  Date of Baptism (mm/dd/yyyy) Please enter a date.
  
  Current School Please enter valid data.
  
  School Location Please enter valid data.
  
  Current/ Last Grade Please enter valid data.
  
  PSR Status Currently In PSR Completed PSR Neither
  
  PSR Attended at Please enter valid data.
  
  Additional Information
  
  We are pleased to offer both online giving and traditional envelope services to our parishioners. Which option is most convenient for your family? REQUIRED Traditional Envelopes Online Giving Please fill out this field.
  
  We have a parish email blast system we use to communicate information about activities and events that are happening at St. Monica. May we put you on our contact list? REQUIRED Yes No Please fill out this field.
  
  Would you like to receive the St. Louis Review? REQUIRED Yes No Please fill out this field.
  
  Have you completed a stewardship form? Time/Talent/ Treasure? REQUIRED Yes No Please fill out this field.
  
  Is there any additional information, such as special needs or skills, you would like us to know that may allow us to serve you better?
  
  Submit
  
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St. Monica Catholic Church
& Preschool

City, ST

Parish Registration

Keeping our parish database up-to-date