Registration

Family Information

Family Name 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.

Home Phone Number Please enter a phone number.

What information may we print in the Parish Directory? Unlisted in the Directory Family Names Address Home Phone Cell Phones Email Addresses Children's Names (we do not publish any other information on children under 18)

Would you like to receive contribution envelopes? REQUIRED Yes No Please fill out this field.

Marital Status REQUIRED Please fill out this field.

Date of Marriage Please enter a date.

Head of Household

Title

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

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

Maiden Name (if applicable) Please enter valid data.

Religion Please enter valid data.

Occupation Please enter valid data.

Employer Please enter valid data.

Cell Phone Number Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

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

Sacraments Received Baptism First Communion Confirmation Reconciliation

Spouse

Title

First Name Please enter valid data.

Last Name Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Religion Please enter valid data.

Occupation Please enter valid data.

Employer Please enter valid data.

Cell Phone Number Please enter a phone number.

Email Please enter an email address.

Birthdate Please enter a date.

Sacraments Received Baptism First Communion Confirmation Reconciliation

Children Living at Home

We have included space for 4 children, if you have more than 4 children, you will need to fill out the form again, including the extra children, or email the office with the additional names and requested information.

Number of Children Living At Home Please enter an integer (number).

Child 1

First Name Please enter valid data.

Last Name Please enter valid data.

Male Female

Cell Phone Number Please enter a phone number.

Email Please enter an email address.

Birthdate Please enter a date.

Grade Please enter valid data.

School Please enter valid data.

Religion Please enter valid data.

Sacraments Received Baptism First Communion Confirmation Reconciliation

Child 2

First Name Please enter valid data.

Last Name Please enter valid data.

Male Female

Cell Phone Number Please enter a phone number.

Email Please enter an email address.

Birthdate Please enter a date.

Grade Please enter valid data.

School Please enter valid data.

Religion Please enter valid data.

Sacraments Received Baptism First Communion Confirmation Reconciliation

Child 3

First Name Please enter valid data.

Last Name Please enter valid data.

Cell Number Please enter a phone number.

Email Please enter an email address.

Birthdate Please enter a date.

Grade Please enter valid data.

School Please enter valid data.

Religion Please enter valid data.

Sacraments Received Baptism First Communion Confirmation Reconciliation

Child 4

First Name Please enter valid data.

Last Name Please enter valid data.

Cell Number Please enter a phone number.

Email Please enter an email address.

Birthdate Please enter a date.

Grade Please enter valid data.

School Please enter valid data.

Religion Please enter valid data.

Sacraments Received Baptism First Communion Confirmation Reconciliation

St. Joseph

Colbert, WA

Registration

Family Information

Head of Household

Spouse

Children Living at Home