St. Catherine
of Alexandria

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Parish Registration Form

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Welcome to St. Catherine Church!
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- Please fill out as much information as you can. All fields with an * are required to be filled in. Thank you.
- Family Last Name: REQUIRED Please fill out this field. Please enter valid data.
- First Name: REQUIRED Please fill out this field. Please enter valid data.
- Title: REQUIRED Please fill out this field.
- DOB: Please enter a date.
- Employer: Please enter valid data.
- Work Telephone Number: Please enter valid data.
- Mailing 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.
- Telephone Number: REQUIRED Please fill out this field. Please enter valid data.
- Email: REQUIRED Please fill out this field. Please enter valid data.
- Spouse's First Name: Please enter valid data.
- Spoue's Last Name: Please enter valid data.
- Spouse's DOB: Please enter a date.
- Employer: Please enter valid data.
- Child's Name: Please enter valid data.
- Child's DOB: Please enter a date.
- Child's Name: Please enter valid data.
- Child's DOB: Please enter a date.
- Child's Name: Please enter valid data.
- Child's DOB: Please enter a date.
- Would you like to receive contribution envelopes? REQUIRED
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- I would like to receive information from the parish in this language: REQUIRED Please fill out this field.
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