Parish Membership Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.


Our Parish Prayer
     Dear Heavenly Father, we come to You for the good of our parish.  Make us work in a spirit of trust, love and understanding so that we may experience an abundance of light, compassion and peace.  Keep our eyes ever fixed upon You, O Lord.  Enable us to do your will in our lives, no matter the difficulty it may entail.  Protect Sacred Heart from any attempt to diminish your loving action among us.  Send us your Holy Spirit and renew our parish with a vivid sense of your presence, in the name of your Son Jesus Christ.  Amen.

Date //
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Family Name
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Home Address
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Phone --
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Cell Phone --
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Email Address
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Additional E-mail Address for other family members
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Head of Family
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Head of Family Date of Birth //
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Head of Family Religion:
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Sacraments Received Head of Family
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Name of Spouse
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Spouse Date of Birth //
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Spouse Religion
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Sacraments Received Spouse
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Marital Status
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Marriage Date //
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Married by a Catholic Priest?
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First and Last Names of Child(ren) in Household
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First and Last Name(s) of Other Adult(s) in Household
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What language, other than English, is spoken at home?
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Last Parish Attended:
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Parish Name, City, State
Is this information:
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