Click Submit Form to send this information to St. John Vianney Parish.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  



Head of Household
Title *First Name *Last Name Suffix

  Middle Name   Nickname Maiden Name
*Ethnicity *Birth Date *Gender Female   Male
Grade/Degree *Language *Marital Status

Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.


  Phone 1 ( ) - Unlisted

Sacraments   Name Received Date


   Baptism


   1st Communion


   Confirm


   1st Reconcil.


   Church Marriage

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status

Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.


  Phone 1 ( ) - Unlisted

Sacraments   Name Received Date


   Baptism


   1st Communion


   Confirm


   1st Reconcil.


   Church Marriage




Family Street Address


*Line 1


  Line 2


*City


*State


*ZIP






Family Phone Numbers

Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.


*Primary ( ) - Unlisted


  Other ( ) - Unlisted



Email


*Email   Unlisted



Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status

Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.


  Phone 1 ( ) - Unlisted

Sacraments   Name Received Date


   Baptism


   1st Communion


   Confirm


   1st Reconcil.


   Church Marriage


Click Submit Form to send this information to St. John Vianney Parish.

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