Parish Registration - Parent and 2 Children

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Home Phone

*

Cell Phone

*

Address

*

Birthdate

*

Marital Status

*

Please select one option.

Married Single Widowed Engaged Divorced Separated Annulled

Family Role

*

Please select one option.

Head of Household

Religion

*

Please select one option.

Catholic Christian Protestant Jewish Presbyterian Episcopalian Unitarian Congregational Lutheran Other (please specify below)

Gender

*

Please select one option.

M F

Would you like to receive parish envelopes to make weekly donations?

*

Please select one option.

Yes No

Are you interested in online giving?

*

Please select one option.

Yes No

Would you like to receive parish emails?

*

Please select one option.

Yes No

Additional information

Enter the information for rest of your family in the following section(s). Click the Green SUBMIT button for each family member. Click the Red SUBMIT button at the end to complete the registration.

Child 1 Information

Child 2 Information

Welcome to Christ the King Parish!

Description

Please fill out this form and click submit.

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