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Register as a New Parishioner

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NEW MEMBER REGISTRATION
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- Head of Household
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list your Religion REQUIRED Please fill out this field. Please enter valid data.
- Please list your Religion REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Single Widow/Widower Separated/Divorced Church Marriage Civil Marriage Please fill out this field.
- Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Name and Address of Baptism Location REQUIRED Please fill out this field. Please enter valid data.
- Date of Wedding Please enter valid data.
- If Widow/Widower, please add name and date of decedent Please enter valid data.
- Occupation Please enter valid data.
- Spouse
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Religion of Spouse Please enter valid data.
- Date of Baptism Please enter valid data.
- Name and Address of Baptism Location Please enter valid data.
- Occupation of Spouse Please enter valid data.
- Dependent Children REQUIRED Please fill out this field. Please enter valid data.
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St. Edward THE CONFESSOR
CATHOLIC CHURCH

Mendon, MI

Register as a New Parishioner

NEW MEMBER REGISTRATION