• Parish Registration

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  • Date Please enter a date.
  • Parish Name Church of St. Joseph - Killdeer Church of St. Paul - Halliday Church of St. Joseph - Twin Buttes
  • Were you previously registered in another parish? Yes No
  • If yes, please list parish name and address. Please enter valid data.
  • FAMILY INFORMATION
  • Family's Home Street Address Please enter valid data.
  • Family's Home Mailing Address Please enter valid data.
  • City Please enter valid data.

    State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

    Zip Please enter a zip code.
  • Male/Head of Household
  • Full Name Please enter valid data.
  • Date of Birth Please enter valid data.
  • Phone Number Please enter a phone number.
  • Email Please enter an email address.
  • Religion Please enter valid data.
  • Occupation Please enter valid data.
  • Employer Please enter valid data.
  • Marital Status Married Single Widowed Divorced Annulled Catholic Marriage Civil Marriage
  • Sacraments Received Baptism Communion Confirmation
  • Female/Spouse/Head of Household
  • Full Name Please enter valid data.
  • Maiden Name if Applicable Please enter valid data.
  • Date of Birth Please enter valid data.
  • Phone Number Please enter a phone number.
  • Email Please enter an email address.
  • Religion Please enter valid data.
  • Occupation Please enter valid data.
  • Employer Please enter valid data.
  • Marital Status Married Single Widowed Divorced Annulled Catholic Marriage Civil Marriage
  • Sacraments Received Baptism Communion Confirmation
  • • Number of Additional Family Members REQUIRED Please fill out this field.
    • Family Member 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 5
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 6
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 7
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 8
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 9
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation
    • Family Member 10
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Date of Birth Please enter valid data.
      • Grade Please enter valid data.
      • Gender Male Female
      • Religion Catholic Other
      • Relationship Child Stepchild Other
      • Sacraments Received Baptism Reconciliation Communion Confirmation

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