Consider registering as a regular parishioner at St. Catherine Laboure and enjoy all the benefits that our Parish has to offer.
Please use the form below to request to be registered as a new parishioner.

Field Items below marked with an  *  are required, others are not.

Contact Information

*First Name:
*Last Name:
*Address:
Suite or Unit No.
*City:
*State:
*Postal Code:
*Telephone:
Business or Cell Phone
Fax:
*Email:

Marriage, Religion and Occupation Information

Spouse Name (if Married):    
Wife Maiden Name    
Date of Marriage: (mm-dd-yyyy)  
Church Name:    
Church City:    
Church State:    
Church Country    
Religion (self): Baptized?: Y   N
Religion (spouse): Baptized?: Y   N
Occupation (self):    
Occupation (spouse):    
Date of Birth (self): (mm-dd-yyyy)  
Date of Birth (spouse): (mm-dd-yyyy)  
 Language (other than English):    


Children Information

Children Names Date of Birth
(mm-dd-yyyy)		 School Grade Level CCD? Baptized? Communion? Confirmation?
  Y   N Y   N Y    N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N
Y   N Y   N Y   N Y   N

Enter below what inspired or attracted you to our Parish,
also, any Parish activities or services that may be of interest to you.
If there are any other adults in your household, please also enter
them here and their relationship to you

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