Parish Registration - Couple 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
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthdate
*
Religion
*
Please select one option.
Catholic
Christian
Protestant
Jewish
Congregational
Episcopalian
Presbyterian
Unitarian
Lutheran
Other (please specify below)
Select Option
Catholic
Christian
Protestant
Jewish
Congregational
Episcopalian
Presbyterian
Unitarian
Lutheran
Other (please specify below)
Religion, if Other
Marital Status
*
Please select one option.
Married
Single
Engaged
Select Option
Married
Single
Engaged
Gender
*
Please select one option.
M
F
Family Role
*
Please select one option.
Head of Household
Spouse
Would you like to receive parish envelopes to make weekly donations?
*
Please select one option.
Yes
No
Select Option
Yes
No
Are you interested in online giving?
*
Please select one option.
Yes
No
Select Option
Yes
No
Would you like to receive parish emails?
*
Please select one option.
Yes
No
Select 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.
Spouse Information
Child 1 Information
Child 2 Information
Welcome to Christ the King Parish!
Submit
Description
Please fill out this form and click submit.
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