St. Anthony of Padua

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Join Our Parish Family

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Join our Parish Family!
We Look Forward to Welcoming you!

Fill out the form below to register to our parish or stop by the parish office to fill out the form in person. Thank you and see you soon!

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- Today's Date: REQUIRED Please fill out this field. Please enter a date.
- Family Last Name: REQUIRED Please fill out this field. Please enter valid data.
- Head of Household Information:
  
  Name (First/Middle/Last): REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth: REQUIRED Please fill out this field. Please enter a date.
  
  Religion: REQUIRED Please fill out this field. Please enter valid data.
  
  Address: 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.
  
  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.
  
  Employment and Phone #: REQUIRED Please fill out this field.
  
  Contribution Preference: REQUIRED Weekly Monthly Faith Direct Please fill out this field.
- Sacraments:
  
  Marital Status: REQUIRED Single Married Divorced Separated Widowed Please fill out this field.
  
  Married in the Catholic Church? Yes No
  
  If no, please specify: Please enter valid data.
  
  Church of Marriage (include city/state): Please enter valid data.
  
  Date of Marriage: Please enter a date.
  
  Sacraments of Initiation (Check all that you've received) REQUIRED Baptism First Eucharist Confirmation N/A Please fill out this field.
  
  Please include the year each of these sacraments were received below:
- Family Information:
  
  Spouse (First/Middle/Last): Please enter valid data.
  
  Spouse's Maiden Name: Please enter valid data.
  
  Date of Birth: Please enter a date.
  
  Religion: Please enter valid data.
  
  Phone Number: Maximum 20 characters Please enter a phone number.
  
  Email: Please enter an email address.
  
  Sacraments: REQUIRED
  Please respond N/A if you do not have spouse
  Baptism First Eucharist Confirmation N/A Please fill out this field.
- Children:
  
  Child 1 (First/Middle/Last): Please enter valid data.
  
  Date of Birth: Please enter a date.
  
  School: Please enter valid data.
  
  Parents, if different than family name Please enter valid data.
  
  Sacraments: Baptism First Eucharist: Confirmation
  
  Please include the year each sacrament took place below:
  
  Child 2 (First/Middle/Last): Please enter valid data.
  
  Date of Birth: Please enter a date.
  
  School: Please enter valid data.
  
  Parents, if different than family name: Please enter valid data.
  
  Sacraments: Baptism First Eucharist Confirmation
  
  Please include the year each sacrament took place below:
  
  Child 3 (First/Middle/Last): Please enter valid data.
  
  Date of Birth: Please enter a date.
  
  School: Please enter valid data.
  
  Parents, if different than family name: Please enter valid data.
  
  Sacraments: Baptism First Eucharist Confirmation
  
  Please include the year each sacrament took place below:
  
  Child 4 (First/Middle/Last): Please enter valid data.
  
  Date of Birth: Please enter a date.
  
  School: Please enter valid data.
  
  Parents, if different than family name: Please enter valid data.
  
  Sacraments: Baptism First Eucharist Confirmation
  
  Please include the year each sacrament took place below:
  
  Please list the Name (First/Middle/Last), Date of Birth, School, Parents, and Sacraments (including years) for each additional child:
- Additional Information:
  
  Please include any comments or additional information about your family that you are interested in sharing with us including areas of ministry, volunteering, and the like.
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