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Today's Date REQUIRED Please fill out this field. Please enter a date.

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

Head of Household First & Middle Name REQUIRED Please fill out this field. Please enter valid data.

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

Date of Birth Please enter valid data.

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

Religion REQUIRED Please fill out this field. Please enter valid data.

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

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. Please enter valid data.

Zip Code REQUIRED Please fill out this field. Please enter valid data.

Gender Male Female

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Marital Status

Contact me about getting Married in the Church.

Ethnicity Please enter valid data.

Language (s) Please enter valid data.

Ministry

Spouse First Name and Middle Name Please enter valid data.

Spouse's Maiden Name Please enter valid data.

Spouse's Date of Birth Please enter valid data.

Phone Number Please enter a phone number.

Religion Please enter valid data.

Email Please enter an email address.

Gender Male Female

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Marital Status

Ethnicity Please enter valid data.

Language (s) Please enter valid data.

Ministry Interested In

Please only list those children that are living with you.

Child 1 First & Middle Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Child 2 First & Middle Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Child 3 First & Middle Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Child 4 First & Middle Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Child 5 First & Middle Name Please enter valid data.

Last Name Please enter valid data.

Date of Birth Please enter valid data.

Baptized Yes No

First Communion Yes No

Confirmation Yes No

Contribution Options
**Please be aware that the Parish's annual cost of personalized contribution envelopes is $4,200 plus the time and salary of a staff person to manually input the contributions. To help alleviate our cost, please consider electronic giving. You may sign up for FaithDirect using code TX363.

Contribution Options I would like to receive envelopes in the mail I would like to sign up for FaithDirect

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