Welcome to Saint Patrick Catholic Church

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name Maiden Name
*  Birth Date *Gender Female   Male
*  Religion Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   First Communion
   Confirmation
   Marriage
Ministries   I would like to receive more information about the following ministries Interested in Joining
  
  
  

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name Maiden Name
*  Birth Date   Gender Female   Male
*  Religion   Language Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   First Communion
   Confirmation
   Marriage
Ministries   I would like to receive more information about the following ministries Interested in Joining
  
  
  

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name Maiden Name
*  Birth Date   Gender Female   Male
*  Religion   Language Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   First Communion
   Confirmation
   Marriage
Ministries   I would like to receive more information about the following ministries Interested in Joining
  
  
  



Click Submit to send this registration to Saint Patrick Catholic Church. Visit our website for more information or call (253) 383-2783.