Parish Registration

Upon your completion of the registration form for the Church of the Resurrection, our office will properly record your personal data and sacramental records in our file.

Please complete the form below

Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

YYYY

Email Address *

Primary Phone Number *

Primary Phone Number

(###)

###

####

Spouse Name

First Name

Last Name

Spouse Date of Birth

YYYY

Spouse Email Address

Spouse Phone Number

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child 1

First Name

Last Name

Date of Birth

YYYY

Child 2

First Name

Last Name

Date of Birth

YYYY

Child 3

First Name

Last Name

Date of Birth

YYYY

Child 4

First Name

Last Name

Date of Birth

YYYY