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New Parishioner Registration

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- Number of Adults REQUIRED
  Select the number of adults (over 18) living in your home.
  Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
  
  Adult # 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.
  
  Male or Female REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Spouse Name (if married) Please enter valid data.
  
  Marriage Date Please enter a date.
  
  Marriage Info Catholic Marriage Civil Marriage Second Marriage
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spoken Languages Please enter valid data.
  
  Sacraments Recevied REQUIRED Baptism Confirmation 1st Communion 1st Reconciliation Please fill out this field.
- Would you like envelopes? REQUIRED Please fill out this field.
- Information on minor children living at home (18 and under)
- Number of Children REQUIRED Please fill out this field.
  
  Child # 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
  
  Child # 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Male or Female
  
  Date of Birth Please enter a date.
  
  Sacraments Received Baptism Confirmation 1st Communion 1st Reconciliation
Submit

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St. Joseph Catholic Church

1830 s. corona ave
Colorado Springs, CO 80905

New Parishioner Registration