Parish Registration

Formal Mailing Address

How would you like your mail addressed?

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Family Phone Number (###)###-####(Required)

Family Primary Language(Required)

Is this a New Registration or Update of an Existing Registration?(Required)

New Registration
Update Existing Registration

Previous Parish (City, State)

Are you a St. Patrick School Family?(Required)

Yes
No

Head of Household Information

Head of Household Name(Required)

First Last

Head of Household Gender(Required)

Male
Female

Ethnicity(Required)

Head of Household Date of Birth (mm/dd/yyyy)(Required)

Are you Catholic?(Required)

Yes
No

Head of Household Email(Required)

Head of Household Phone(Required)

Sacraments Received to Date(Required)

Co-head

First Last

Relationship to Head of Household

Co-Head Gender

Male
Female

Co-Head Date of Birth (mm/dd/yyyy)

Co-head (Sacraments Received to Date)

Additional family member 1 (child or other person living in home)

First Last

Additional family member 1 (Sacraments Received to Date)

Additional family member 2 (child or other person living in home)

First Last

Additional family member 2 (Sacraments Received to Date)

Additional family member 3 (child or other person living in home)

First Last

Additional family member 3 (Sacraments Received to Date)

Additional family member 4(child or other person living in home)

First Last

Additional family member 4(Sacraments Received to Date)

Additional family member 5 (child or other person living in home)

First Last

Additional family member 5(Sacraments Received to Date)

Please check all that apply.(Required)

I want to receive the weekly St. Patrick Digital Newsletter, Flocknote
I want to received the Diocesan Newsletter, the Texas Catholic.
I do not want to receive any of these.

How would you like to contribute to St. Patrick?(Required)

I would like to receive donation envelopes.
I would like to donate online via Faith Direct.
I do not wish to contribute at this time.

Comments

This field is for validation purposes and should be left unchanged.

Parish Registration

Welcome to St. Patrick Catholic Church!