We want to welcome you to St. Francis Xavier Catholic Church!

We ask you to please fill out the registration form in its entirety.This information is very important to our Parish and the Diocese which is used for statistical information.

Thank you for your interest in our local Parish community and God bless!

Family Last Name:*
Address:*
Phone:*
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E-mail:*
E-mail confirmation:*
Marital Status:
Date of Marriage:
Head of Household:
Birth Date:
Occupation:
Employer:
Business Phone #:
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Highest Level of Education:
Ministry Interests:
Religion:
Spouse (include maiden name):
Spouse Birth Date:
Spouse Occupation:
Spouse Employer:
Spouse Business Phone #:
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Spouse Highest Level of Education:
Spouse Ministry Interests:
Spouse Religion:
Child 1 First Name:
Child 1 Sex:
Child 1 Baptism:
Child 1 Disabled:
Child 1 Penance:
Child 1 First Eucharist:
Child 1 Confirmation:
Child 1 School/Occupation:
Child 1 Grade:
Child 1 Religion:
Child 1 Date of Birth:
Child 2 First Name:
Child 2 Sex:
Child 2 Baptism:
Child 2 Disabled:
Child 2 Penance:
Child 2 First Eucharist:
Child 2 Confirmation:
Child 2 School/Occupation:
Child 2 Grade:
Child 2 Religion:
Child 2 Date of Birth:
Child 3 First Name:
Child 3 Sex:
Child 3 Baptism:
Child 3 Disabled:
Child 3 Penance:
Child 3 First Eucharist:
Child 3 Confirmation:
Child 3 School/Occupation:
Child 3 Grade:
Child 3 Religion:
Child 3 Date of Birth:
Child 4 First Name:
Child 4 Sex:
Child 4 Baptism:
Child 4 Disabled:
Child 4 Penance:
Child 4 First Eucharist:
Child 4 Confirmation:
Child 4 School/Occupation:
Child 4 Grade:
Child 4 Religion:
Child 4 Date of Birth:
Other First Name:
Other Sex:
Other Baptism:
Other Disabled:
Other Penance:
Other First Eucharist:
Other Confirmation:
Other School/Occupation:
Other Grade:
Recaptcha Word Verification:
Other Religion:
Other Date of Birth: