Register as a Parishioner

We are so excited that you have chosen to register as a parishioner here at St. Francis Xavier Catholic Church. Please complete the form in it's entirety as best you can.

Basic

Last Name

Required*

First Name(s)

First Name

Last Name

Address

Street 1

Street 2

City

State

Zip

Phone

Comments or Questions

Envelopes
Required*

Please leave my envelopes at the back of church

Please mail my envelopes to me

Envelope number will be automatically assigned once registration is processed. Please check how you wish to receive them.

Member info

Name

First Name

Last Name

DOB

MM/DD/YY //

Occupation

Sacramental Info

	Catholic
	Baptism
	Reconciliation
	First Eucharist
	Confirmed
	Valid Catholic Marriage

Dependent 1

Name

First Name

Last Name

DOB

Sacramental Info

	Baptism
	First Eucharist
	Reconciliation
	Confirmed

Dependent 2

Name

First Name

Last Name

DOB

Sacramental Info

	Baptism
	Reconciliation
	First Eucharist
	Confirmed

Dependent 3

Name

First Name

Last Name

DOB

Sacramental Info

	Baptism
	Reconciliation
	First Eucharist
	Confirmed

Register as a Parishioner

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