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Parish Registration

- Welcome
Register HERE
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- New to the Parish? REQUIRED Registering as a new member Already registered, need to update my new info Please fill out this field.
- Salutation of Household
- First Name (Head of Household) REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Last Name (Head of Household) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth (Month/Day/Year) REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Home Address (include # if Apartment) 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.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Previous Parish (City and State) Please enter valid data.
- Baptized? REQUIRED Yes No Please fill out this field.
- 1st Communion? REQUIRED Yes No Please fill out this field.
- Confirmed? REQUIRED Yes No Please fill out this field.
- Languages Spoken REQUIRED Please fill out this field. Please enter valid data.
- Ethnicity Please enter valid data.
- Occupation Please enter valid data.
- Interested in Volunteering? REQUIRED Yes Maybe No Please fill out this field.
- Do you prefer? REQUIRED Offertory Envelopes Online Giving Please fill out this field.
- Number of Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 16
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 17
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 18
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 19
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Family Member 20
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Language Please enter valid data.
  
  Occupation Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  1st Communion? REQUIRED Yes No Please fill out this field.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
Submit

Your Parish Needs You and You Need Your Parish!
Have you registered with Our Lady of Perpetual Help Parish? If you have recently moved to the area or if you are a long-time resident, please consider registering. If you need to update your information, please let us know. Registration Forms may be obtained at the parish office or you can register online.

Registration is important; it helps us in planning for the growth and development of the parish. Registered active members are eligible for sponsor/godparent validation, and letters confirming that you are a parishioner. Registration numbers may determine how many priests are assigned to a parish.
If you are 18 or older, you need to register yourself as an adult.
Thank you for taking the time to register and thank you for your support of our parish!
¡Su Parroquia lo Necesita a Usted y Usted Necesita a Su Parroquia!
¿Ya se registro en la Parroquia de Nuestra Señora del Perpetuo Socorro? Si se mudó recientemente al área o si es residente desde hace mucho tiempo, considere registrarse. Si necesita actualizar su información, por favor avísenos. Los formularios de registro se pueden obtener en la oficina parroquial o puede registrarse en línea.

Registrarse es importante; nos ayuda a planificar el crecimiento y desarrollo de la parroquia. Los miembros activos registrados son elegibles para la validación de patrocinadores/padrinos, y cartas que confirmen que usted es un feligrés. Los números de registro pueden determinar cuántos sacerdotes se asignan a una parroquia.
Si tiene 18 años o más, debe registrarse como adulto.
¡Gracias por tomarse el tiempo para registrarse y gracias por su apoyo a nuestra parroquia!