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HOME
CHURCH
ABOUT
History
Mission
Pastoral Leaders & Staff
Parish Council
WORSHIP
STAR OF THE SEA BLOG
FAITH FORMATION
MINISTRIES
NEWS & EVENTS
GIVING
eGiving and Offertory
Legacy Gifts
SCHOOL
OPPORTUNITIES
CONTACT
Parish Registration
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2022-08-03T09:34:23-04:00
Parish Registration Form
Welcome to our Parish Community! Please complete and submit online or download form below, print and submit in person. The information you provide on this census form will be used exclusively within the Church. Thank you.
Download Form HERE
Name
First
Last
Are you presently registered in this parish?
Yes
No
If yes, please state the year of original registration:
Were you previously registered in another parish in the Diocese of Richmond?
Yes
No
If yes, please name the parish and location:
Do we have permission to publish your home number within the parish?
Yes
No
Household Mailing Information
(Please complete as you want mail addressed to your household, including titles.)
Name
First
Last
Address
Street Address
City
State
ZIP
Are there any special circumstances or information of which the parish should be aware?
Please provide directions to your home, include subdivision names, rural routes or street names which may be helpful in locating you.
Household Member Information
Please only enter people who are presently residing in your household or who are temporarily away for college or military.
Head 1
Name
First
Last
Phone
Email
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
Head 2
Name
First
Last
Phone
Email
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
Other (specify)
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
Other Adult / Child 1
Add Additional Person
Yes
No
Name
First
Last
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
Other Adult / Child 2
Add Additional Person
Yes
No
Name
First
Last
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
Other Adult / Child 3
Add Additional Person
Yes
No
Name
First
Last
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
Other Adult / Child 4
Add Additional Person
Yes
No
Name
First
Last
Personal Status
Marriage Catholic (Recognized by Church)
Marriage Other
Single
Widowed
Divorced
Separated
Member of Religious Order
Religion
Catholic
Other Christian
Jewish
No Religion
Disability
Legally Blind
Intellectually Disabled
Hearing Impaired
Physically Disabled
Shut-in
Other (specify)
Other Disability
Race/Ethnicity
Asian
Black
Hispanic
Native American
White
1st Language if not English
Spanish
English
Creole
Vietnamese
Korean
Tagalog
2nd Language
Spanish
English
Creole
Vietnamese
Korean
Tagalog
Occupation
Company/School
Birthday
MM slash DD slash YYYY
Sex
Male
Female
Email
Sacraments Received
Baptism
1st Communion
Confirmation
Marriage
Check all that apply.
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