Parish Registration/Registro Parroquial

Family Last Name (required)
Apeido de Familia

Home Phone 123-456-7890 (required)
Telefono de Casa 123-456-7890 (required)

Cell Phone 123-456-7890 (required)
Telefono Cellular 123-456-7890 (required)

Home Address (required)
Direccion del Hogar

City (required)
Ciudad

Zip Code (required)
Coligo Postal

Your Email (required)

Were you married in the Catholic Church? (required)
Fueron casados en la Iglesia Catolica?
yesno

Date of Marriage mm-dd-yyyy
Fecha de Matrimonio mm-dd-aaaa

Head of Household First Name (required)
Cabeccero(a) de Casa Primer Nombre

Head of Household Middle Name
Cabeccero(a) de Casa 2nd Nombre

Head of Household Last Name (required)
Cabeccero(a) de Casa Apeido

Head of Household Religion (required)
Cabeccero(a) de Casa Religion

Head of Household Date of Birth mm-dd-yyyy (required)
Cabeccero(a) de Casa Fecha de Nacimiento mm-dd-aaaa

Head of Household Sacraments Completed (required)
Cabeccero(a) de Casa Sacramentos Completo
BaptismFirst CommunionConfirmation

Head of Household Please Select One
Cabeccero(a) de Casa por favor marca uno
Married/CasadoSingle/SolteroWidowed/ViudoDivorced/DivorciadoSeparated/Separado

Head of Household Occupation (required)
Cabeccero(a) de Casa Ocupacion

Spouse First Name
Esposo(a) Primer Nombre

Spouse Middle Name
Esposo(a) 2nd Nombre

Spouse Last Name
Esposo(a) Apeido

Spouse Religion
Esposo(a) Religion

Spouse Date of Birth mm-dd-yyyy
Esposo(a) Fecha de Nacimiento mm-dd-aaaa

Spouse Sacraments Completed
Esposo(a) Sacramentos Completo
BaptismFirst CommunionConfirmation

Spouse Occupation
Esposo(a) Ocupacion

Child #1 Full Name
Nino(a) #1 Nombre Completo

Select One
marca uno
Male/hombreFemale/mujer

Child #1 Religion
Nino(a) #1 Religion

Child #1 Date of Birth mm-dd-yyyy
Nino(a) #1 Fecha de Nacimiento mm-dd-aaaa

Child #1 Date of Baptism mm-dd-yyyy
Nino(a) #1 Fecha de Bautismo mm-dd-aaaa

Child #1 Date of First Communion mm-dd-yyyy
Nino(a) #1 Fecha de Communion mm-dd-aaaa

Child #1 Date of Confirmation mm-dd-yyyy
Nino(a) #1 Fecha de Confirmacion mm-dd-aaaa

Child #1 Grade in School
Nino(a) #1 Grado Escolar

Child #1 School Attending
Nino(a) #1 Escuela Asistiendo

Child #1 Attending RE Class
Nino(a) #1 Asistiendo RE Clase
YesNo

Your Message
Tu Mensaje