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Parishioner Registration

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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Physical Address Please enter valid data.
- Mailing 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.
- Household Giving Method Collection Basket Envelopes Online Giving Request Envelopes
- Adult Members REQUIRED Please fill out this field.
  
  Adult 1
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
  
  Adult 2
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
  
  Adult 3
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
  
  Adult 4
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
  
  Adult 5
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
  
  Adult 6
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments of Initiation Received REQUIRED Baptism Confirmation Holy Eucharist None Please fill out this field.
  
  Marital Status REQUIRED Single Married in the Catholic Church Married Civilly Married outside of the Catholic faith Widow/Widower Divorced Please fill out this field.
- Children Please fill out this field.
  
  Child 1
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 2
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 3
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 4
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 5
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 6
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
  
  Child 7
  
  Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Received Baptism Holy Eucharist Confirmation None
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Saint Anthony of Padua Catholic Church

A Diocese of Lubbock Church in Anton,Texas

Parishioner Registration