Parish Registration

Parishioner Information

First Name REQUIRED Please fill out this field. Please enter valid data.
Middle Initial Please enter valid data.
Last Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Email Please enter an email address.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Occupation Please enter valid data.
Catholic? Yes No
Marital Status
Any special needs/allergies we should be aware of?

Spouse/Partner Information (if applicable)

First Name Please enter valid data.
Middle Initial Please enter valid data.
Last Name Please enter valid data.
Nickname Please enter valid data.
Date of Birth Please enter a date.
Email Please enter an email address.
Cell Phone Number Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Catholic? Yes No
Any special needs/allergies we should be aware of?

Secondary Phone Number Please enter a phone number.

Street Address 1 REQUIRED Please fill out this field. Please enter valid data.

Street Address 2 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.

First and Last Name of Other Adults in Household

Children REQUIRED Please fill out this field.
Child 1
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 2
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 3
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 4
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 5
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 6
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 7
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 8
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 9
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?
Child 10
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Nickname Please enter valid data.
- Gender
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Relationship to Head of Household (son, daughter, etc) Please enter valid data.
- Lives with you? Yes No
- Catholic? Yes No
- Baptized? Yes No
- First Communion? Yes No
- Confirmation? Yes No
- Attends Religious Education? Yes No
- School or Work Place Please enter valid data.
- Any special needs/allergies we should be aware of?

You would like more information about: Parish Ministries Parish Events Receiving the Sacraments Faith Formation (Adult) Faith Formation (Children) Volunteer Opportunities

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Were you previously registered within a parish within the Archdiocese of Boston? Yes No

If yes, please tell us where: Please enter valid data.

Comments or Additional Information