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St. Henry Parish Registration NEW 2016

Head of the Household

If both spouses are Catholic, "Head of the Household" is the Husband

First Name(*)
Please let us know your name.

Last Name(*)
Please let us know your name.

Street Address(*)
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City(*)
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State(*)
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Zip Code(*)
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Home Phone(*)
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Cell Phone(*)
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Your Email(*)
Please let us know your email address.

Date of Birth(*)
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Marital Status
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Date you were married
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Did you marry in a Catholic ceremony (valid by the Catholic Church)
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Are you a student?
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If a student, where are you currently enrolled
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Occupation
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Religion(*)
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Are you baptized?(*)
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Date of Baptism
/ / Invalid Input

Church Name, City and State
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Have you received First Communion?
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Date of First Communion
/ / Invalid Input

Church Name, City and State
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Have you been confirmed?(*)
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Date of Confirmation
/ / Invalid Input

Church Name, City and State
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Spouse's Information

First Name
Please let us know your name.

Last Name
Please let us know your name.

Home Phone
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Cell Phone
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Your Email
Please let us know your email address.

Date of Birth
/ / Invalid Input

Religion
Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received First Communion?
Invalid Input

Church Name, City and State
Invalid Input

Date of First Communion
/ / Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

 

Members of the Household

Name
Please let us know your name.

Date of Birth
/ / Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received First Communion?
Invalid Input

Date of First Communion
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

Name
Please let us know your name.

Date of Birth
/ / Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received first communion?
Invalid Input

Date of First Communion
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

Name
Please let us know your name.

Date of Birth
/ / Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received First Communion?
Invalid Input

Date of First Communion
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

Name
Please let us know your name.

Date of Birth
/ / Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received First Communion?
Invalid Input

Date of First Communion
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

Name
Please let us know your name.

Date of Birth
/ / Invalid Input

Are you baptized?
Invalid Input

Date of Baptism
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you received First Communion?
Invalid Input

Date of First Communion
/ / Invalid Input

Church Name, City and State
Invalid Input

Have you been confirmed?
Invalid Input

Date of Confirmation
/ / Invalid Input

Church Name, City and State
Invalid Input

 

Stewardship Information

I would like information about online giving
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Every household will receive offering envelopes.

Sacramental Life

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Please take a moment to reflect on the gifts of time and talent that God has given you. Above you will find a few of the ministries and parish organizations that would love your help. Please select the one you are interested in and someone will contact you shortly!

Community Life

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Other

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Additional Information

Which Mass do you normally attend?
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Were you previously registered at another Catholic Church?
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If so, please remember to contact your former parish to de-register there.

Your comments or questions are welcome. Please enter them in the box below!
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How did you hear about St. Henry's parish?
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