Parish Registration Form

Fill out the form here or you can also contact the parish office by phone at

(901) 276-1412 or by email and we will be happy to help you fill out a registration form.

Your Name:

Spouse's Name (If Applicable)

Family Info

Please list name, age, gender, grade, sacraments received for all family members including yourself.

Home Address

Emergency Contact

Talents / Interests

Volunteer Availability

For more information about how you can become involved in the ministries and activities of our parish, please visit the other pages of this website.