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Register (Join Saint Pius X)

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The registration form below has a download button that you can download, print, and fill out the form. Then mail it in or bring it to the rectory. We welcome one and all to Saint Pius X Parish and to our family!

Printable PDF
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Today's Date REQUIRED Please fill out this field. Please enter a date.
- Title
- Would you like to sign up for Flocknote, the parish’s text and email communication platform? (For example, you will receive reminders about Holy Days and other parish events) REQUIRED Yes No Please fill out this field.
- Budget envelopes will be mailed to you using the Family ID#. However, we invite you to consider using our online e-giving option. Click on the “Giving” link on our homepage to sign up. E-giving is a convenient way for you to set up recurring giving to support our parish.
- Primary Address
  
  Street Line Address 1 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.
  
  Street Line Address 2 Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address (If Different)
  
  Line 1 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Line 2 Please enter valid data.
  
  Zip Code Please enter valid data.
- Alternate Address
  
  Street Line Address 1 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Street Line Address 2 Please enter valid data.
  
  Zip Code Please enter valid data.
  
  Please indicate the appropriate daes when to use the Alternate Address.
  
  From Please enter a date.
  
  To Please enter a date.
- E-Mail REQUIRED Please fill out this field. Please enter an email address.
- Belongs To: REQUIRED Please fill out this field. Please enter valid data.
- E-Mail Please enter an email address.
- Belongs To: Please enter valid data.
- Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Belongs To: REQUIRED Please fill out this field. Please enter valid data.
- Description REQUIRED Please fill out this field.
- Unlisted? REQUIRED Please fill out this field.
- Phone Maximum 20 characters Please enter a phone number.
- Belongs To: Please enter valid data.
- Description
- Unlisted?
- Phone Maximum 20 characters Please enter a phone number.
- Belongs To: Please enter valid data.
- Description
- Unlisted?
- Phone Maximum 20 characters Please enter a phone number.
- Belongs To: Please enter valid data.
- Description
- Unlisted?
- Martial Status (Please Select One) REQUIRED Please fill out this field.
- Church of Marriage Please enter valid data.
- Date of Marriage Please enter a date.
- *If you were not married before a Catholic Priest, was a dispensation granted by a Catholic bishop for the marriage? Yes No
- *If you did not receive a dispensation, was your marriage convalidated (blessed) by a priest at a later date Yes No
- If “No”, would you like to speak with the pastor to discuss having your marriage blessed? Yes Not at this time
- Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 2
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 3
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 4
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 5
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 6
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 7
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 8
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 9
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
  
  Family Member 10
  
  First and Middle Initial Please enter valid data.
  
  Maiden Name or Last Name (If Different) Please enter valid data.
  
  Male/Female Male Female
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  Baptism? Yes No
  
  First Communion? Yes No
  
  Confirmation? Yes No
- Additional Comments (Optional)
Submit

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