Online Parish Registration Census Form

Family Information

Family Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing 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.
Primary Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Name of last Parish you were a member of: Please enter valid data.

Weekly Offertory

Would you like to receive weekly offertory envelopes? REQUIRED Yes No Please fill out this field.
ONLINE DONATION is also available through the DONATE tab. If you would like to use this option you can set up one single monthly donation or four monthly donations with staggered dates to effectively create weekly donations.

Sacramental Needs

Select any that you would like assistance with: Annulment Baptism Marriage Rite of Christian Initiation of Adults (RCIA) Other

Parish ministries that are available:

Our lady's church