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New Registering Parishioner Information

(Note:  These fields must all be filled out)

Status:  New Parishioner New Address New Phone Number Moving, Remove From List

Name: 

Spouse's Name (If Applicable): 

How do you want your mail to be addressed? 

Address:  

Daytime Phone:             Is this number listed?   Yes No

Evening Phone:             Is this number listed? Yes No

Email:  

Marital Status:   Married Single Widowed

Number of children at home:      Children at Alphonsus Academy?  Yes No

In which language would you like to receive your correspondence?  English Spanish

How often would you like to make your Stewardship Donations?  Weekly Monthly

Additional Information about Family Members

(Note:  If you are only registering for yourself, you still must fill out the first colu mn on the left with your own information.  Additional family members may be registered in the additional columns)

Is there any additional information you'd like to add?