Parish Registration Form Name Family Name*Address Street Address Address Line 2 City State ZIP / Postal Code Mailing Address (if different from Street Address)*Marital StatusSingleEngagedMarriedWidowedSeparatedDivorcedAnnulledIf Married, were you married by a priest?YesNoDate of MarriageWife's Maiden NamePlease check all that apply Retired Homebound Disabled Winter Visitor Head of Household Name (first, middle, last)SexMaleFemaleSalutionMr.Mrs.MsMissOtherOther Salutation not listedEmail*Occupation*Work PhoneCell Phone*Date of Birth*Religion*Sacraments Recieved* Baptism Confirmation First Communion First Reconciliation Marriage None Spouse's Name (first, middle, last)SexMaleFemaleSalutationMrMrsMsMissOtherOther Salutation not listedEmail OccupationWork PhoneCell PhoneDate of BirthReligionSacraments Received Baptism Confirmation First Communion First Reconciliation Marriage None TithingTithing OptionsElectronic Funds (visit faithdirect.net, parish code AZ597)Self Directed Bill Pay (via your bank account)Plate Donation with Family Envelopes (envelopes mailed to you)Plate Donation via Check with ID written on it (without envelope)Please list all other family members in your household below.1) Name (first, middle, last)SexMaleFemaleDate of BirthAgeEnrolled in SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconciliation Marriage None 2) Name (first, middle, last)SexMaleFemaleDate of BirthAgeEnrolled in SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconciliation Marriage None 3) Name (first, middle, last)SexMaleFemaleDate of BirthAgeEnrolled in SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconcilliaton Marriage None 4) Name (first, middle, last)SexMaleFemaleDate of BirthAgeAttending SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconcilation Marriage None 5) Name (first, middle, last)SexMaleFemaleDate of BirthAgeAttending SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconciliation Marriage None 6) Name (first, middle, last)SexMaleFemaleDate of BirthAgeAttending SchoolYesNoName of SchoolGradeReligionSacraments Received Baptism Confirmation First Communion First Reconciliation Marriage None Please be sure to check the box below and then click on the Submit button. You will be redirected to a message page if you have successfully submitted your request.
