Parish Registration

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 a date.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Employer REQUIRED Please fill out this field. Please enter valid data.

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Spouse's First Name Please enter valid data.

Spouse's Last Name Please enter valid data.

Spouse's Date of Birth Please enter a date.

Spouse's Cell Phone Number Please enter a phone number.

Spouse's Email Please enter an email address.

Spouse's Employer Please enter valid data.

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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.

Home Phone Number Please enter a phone number.

Wedding Anniversary Please enter a date.

Do you wish to receive Contribution Envelopes? REQUIRED Please fill out this field.

Do you wish to receive the East Tennessee Catholic Newspaper? REQUIRED Please fill out this field.

Check all that apply to YOU- REQUIRED Catholic Non-Catholic Baptized Communion Confirmation Please fill out this field.

Check all that apply to your SPOUSE- Catholic Non-Catholic Baptized Communion Confirmation

Child #1

Child #2

Child #3

Child #4

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Holy Family Catholic Church