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Online Parish Registration for the Cathedral of Saint Andrew
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Family Last Name
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1st Names of Head(s) of Household
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Address 1
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Address 2
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City
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Zip Code
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Primary Ph. #
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Emergency Ph. #
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Em. Phone Description
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Family Email
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Parish has the right to use your contact information and photos in its communications unless the boxes below are checked.
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Not Family Address
Not Familiy Home Phone
Not Family Email Address
Not Photos
Primary Registrant:
Prefix
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Primary Registrant 1st Name
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Middle Name or Initial
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Last name
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Suffix
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Gender:
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Date of Birth:
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Family Role
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Please Select
Father
GrandMother
GrandFather
Husband
Head of Household
Mother
Other
Spouse
StepFather
Step Mother
Unknown
Wife
Email
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Cell Ph. #
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Work Ph. #
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Occupation
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Education
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Primary Language
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Ethnic Background
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Please Select
African American
American Indian
Asian
Caucasion
Hispanic
Other
Religion/Denomination:
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Catholic Sacraments Received
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Baptism
1st Holy Communion
Confirmation
Marriage
Holy Orders / Religious Vows
Current Marital Status
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Single
Engaged
Married
Widowed
Divorced
If Married, Date of Marriage
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Other Head of House:
Prefix:
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2nd Head of House 1st Name:
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Middle Name or Initial:
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Last Name:
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Suffix:
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Gender:
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Date of Birth:
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Family Role:
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Please Select
Father
GrandFather
GrandMother
Head of Household
Mother
Other
Spouse
StepFather
StepMother
Unknown
Wife
Email
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Cell Ph #
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Work Ph #
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Occupation
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Education
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Priamary Language
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Ethnic Background
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Please Select
African American
American Indian
Asian
Caucasian
Hispanic
Other
Religion/Denomination
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Catholic Sacraments Received
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Baptism
1st Holy Communion
Confirmation
Marriage
Ordination/Religious Vows
Marital Status
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Single
Engaged
Married
Widowed
Divorced
If Married, Date of Marriage
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1st Dependent (under 18) in the household: (Other residents are encouraged to register separately.)
#1 Dependent 1st Name
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Middle Name or Initial
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Last Name
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Gender
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Date of Birth
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Grade
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School
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Father's Full name
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Mother's Full Name
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Family Role
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Child
Son
Daughter
Stepson
Stepdaughter
Foster Child
Other
Ethnic Background
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Please Select
African American
American Indian
Asian
Caucasian
Hispanic
Other
Primary Language
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Catholic Sacraments Received
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Baptism
1st Holy Communion
Confirmation
Date/Yr. of Baptism
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Parish of Baptism
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Location of Parish
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2nd Dependent (under 18) in the household: (Other residents are encouraged to register separately
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2nd Dependent 1st Name
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Middle Name or Initial
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Last Name
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Gender
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Date of Birth
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Grade
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School
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Father's Full Name
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Mother's Full Name
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Family Role
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Child
Daughter
Foster Child
Other
Son
Stepson
Stepdaughter
Ethnic Background
*
Please Select
African American
American Indian
Asian
Caucasian
Hispanic
Other
Primary Language
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Catholic Sacraments Received
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Baptism
1st Holy Communion
Confirmation
Date/Year of Baptism
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Parish of Baptism
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Parish Location
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3rd Dependent (under 18) in the household: (Other residents are encouraged to register separately
)
3rd Dependent 1st Name
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Middle Name or Initial
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Last Name
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Date of Birth
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Date of Birth
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Grade
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School
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Father's Full Name
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Mother's Full Name
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Family Role
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Child
Daughter
Foster Child
Other
Son
Stepdaughter
Stepson
Ethnic Background
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Please Select
African American
American Indian
Asian
Causian
Hispanic
Other
Primary Language
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Catholic Sacraments Received
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Baptism
1st Holy Communion
Confirmation
Date/Year of Baptism
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Parish of Baptism
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Location of Parish
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I am Interested in becoming more involved
I am interested in electronic fund transfer as a means of making my donations
I would like a pastoral call
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