Online Parish Registration Form

Address Mail As Follows: REQUIRED Mr. & Mrs. Mr. Mrs. Ms. Dr. Please fill out this field.

Other: specify REQUIRED Please fill out this field. Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Children or other members in your household (Name, Date of birth) REQUIRED Please fill out this field.

I/We would like to receive stewardship envelopes REQUIRED YES NO Please fill out this field.

How would you like to receive your envelopes? REQUIRED Pick-up at Church U.S. Mail Online Giving Please fill out this field.

Questions/Comments: Help us serve you better!

Permission to print name in Church Bulletin/Website
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Church of Saint Ann