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 Information:

Family Information:

Marital Status *

Date of Marriage *

Place (Church) of Marriage *

Do you have children? *

Yes

No

Number of Children *

Child 1: First, Middle, and Last Name *

Child 1: Birth date *

Child 2: First, Middle, and Last Name *

Child 2: Birth date *

Child 3: First, Middle, and Last Name *

Child 3: Birth date *

Child 4: First, Middle, and Last Name *

Child 4: Birth date *

Child 5: First, Middle, and Last Name *

Child 5: Birth date *

Child 6: First, Middle, and Last Name *

Child 6: Birth date *

Child 7: First, Middle, and Last Name *

Child 7: Birth date *

Child 8: First, Middle, and Last Name *

Child 8: Birth date *

Child 9: First, Middle, and Last Name *

Child 9: Birth date *

Child 10: First, Middle, and Last Name *

Child 10: Birth date *

Child 11: First, Middle, and Last Name

Child 11: Birth date

Additional Children

Home Address

Mailing Name:

Address *

City *

State *

Zip Code *

Talents / Interests

Volunteer Availability

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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.