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Parish Registration Form

We're so happy that you've chosen to join our faith family!

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Last Name

Date

Street Address

City

State

Zip

Primary Phone Number

Primary Email Address

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I do not wish to receive emails

Previous Parish Name

City

State

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Adult # 1

Adult # 1 First Name

Middle Name

Last Name

Maiden Name (If Applicable)

Gender

Marital Status

Birth Date

Phone Number

Type of Phone Number

Email

Primary Language

Occupation

Employer

Current Religion

Ethnicity

Sacraments Received

Baptism

First Communion

Confirmation

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Adult #2

Adult # 2 First Name

Middle Name

Last Name

Maiden Name (If Applicable)

Gender

Martial Status

Birth Date

Phone Number

Type of Phone Number

Email

Primary Language

Occupation

Employer

Current Religion

Ethnicity

Sacraments Received

Baptism

First Communion

Confirmation

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Dependent #1

Dependent # 1 Relationship

Is Relationship is "Other", Please Specify

First Name

Middle Name

Last Name

Gender

Birth Date

Phone Number

Email

Current Religion

Sacraments Received

Baptism

First Communion

Confirmation

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Free Text

I would like to learn more about:

Religious Education

Faith Formation

Sacraments

Music Ministry

Men's Ministry

Women's Ministry

Youth Ministry

Children's Ministry

Vacation Bible School

Event Volunteering

Prayer Chain

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I am interested in inquiring about the Catholic Faith. I have some additional questions and would welcome a phone call or visit.

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3333 Cliff Rd E
Burnsville, MN 55337
952-890-0045

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