Join the Parish/Register

Marital Status

Prefix

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Middle Initial Please enter valid data.

Suffix Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

Street Address 2 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.

Mailing Address (if different than above) Please enter valid data.

Email (Primary household e-mail) REQUIRED Please fill out this field. Please enter an email address.

Send e-mail instead of mail when possible Yes No

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Catholic? REQUIRED Yes No Please fill out this field.

Occupation Please enter valid data.

First Language Please enter valid data.

Baptized? Yes No

If you answered 'Yes' to Baptized, please provide the following information:

Date REQUIRED Please fill out this field. Please enter a date.

Church: Please enter valid data.

State Please enter valid data.

St. James Roman Catholic Church