Parish Registration Form

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Primary Contact
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
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 REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Sacraments Received Baptism Confirmation First Communion
Parish Financial Support REQUIRED I will sign up with Faith Direct I would like the parish to send me envelopes I would prefer to use the collection basket without using envelopes Please fill out this field.
- Additional Family Members REQUIRED Please fill out this field.
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion
- Added 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 REQUIRED Please fill out this field. Please enter a date.
  - Relationship to Primary Contact
  - Sacraments Received Baptism Confirmation First Communion

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St. Anthony's Oceanside

A Catholic Parish in the Jesuit Tradition

Parish Registration Form