Parish Registration Form

Parish Registration Form

Click Submit Form to send this information to St. Charles Borromeo Church.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
*First Name *Last Name Suffix
*Birth Date *Gender Female   Male
*Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date Place
   Baptism
   First Eucharist
   Confirmation

Family Street Address
*Line 1
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship Maiden Name
  Birth Date   Gender Female   Male
Marital Status
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Sacraments   Name Received Date Place
   Baptism
   First Eucharist
   Confirmation


Click Submit Form to send this information to St. Charles Borromeo Church.

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