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Saint Christopher Parish Registration Form

Please use this form to:
*make information changes
   *register new family
   *register family additions
*For more than 4 children simply fill this form out for the first four children and email the remaining children's information to the parish office:  [email protected]
The maximum number of form submissions has been reached. This form is currently not available.
- *Registration Option REQUIRED Register a New Family Update an Existing Family Please fill out this field.
- Registration Date REQUIRED Please fill out this field. Please enter a date.
- Family Information
  
  Family Last 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-Head of House REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Phone Number- Spouse Maximum 20 characters Please enter a phone number.
- Email-His REQUIRED Please fill out this field. Please enter an email address.
- Email-Hers REQUIRED Please fill out this field. Please enter an email address.
- Individual Information
  
  (Head of Household) First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Head of House Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse First Name Please enter valid data.
  
  Spouse Religion Please enter valid data.
- Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
- Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
- Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
- Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB Please enter valid data.
  
  Baptismal Date REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmation Date REQUIRED Please fill out this field. Please enter valid data.
- Tithing Options Please send me weekly envelopes Please contact me about automatic payments I prefer to only send in checks (I do not need envelopes)
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