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Welcome
Our Parish
Ministries
Faith Formation
Contact
- Phone/Email
- Map & Directions
Live Stream

Join Our Parish Form

Home » Forms » Join Our Parish Form

Parish Registration Form

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

We are happy you are embarking on this journey with us! Please complete the Parish registration form, so we can better serve you.

Family Name*

Address*

Street Address City State ZIP Code

Are you a Seasonal Resident?*

Yes

No

Dates you are here*

Enter the dates that you are here in Florida

Alternative Mailing Address*

Street Address City State ZIP Code

Communications*

Would you like communication to be sent to your Alternative Mailing Address

Phone*

Email*

Forms of communication*

We do not want you to miss any communications. Please check all forms of communication you are interested in receiving

Email

Phone Call

Postal Service Mail

I prefer my giving to be*

Online (Preferred Method)

Envelopes mailed to me

For online giving contact the parish office for set up instructions.

Marital Info

Your Marital Status*

SIngle

Married

Widowed

Divorced

Married By

Catholic Priest

Minister

Justice of the Peace

Adult Family Members

Adult Member of Family*

First Last

Email*

Date of Birth*

MM slash DD slash YYYY

Place of Employment*

Place of Employment and Job Description

List all Sacraments*

Please list all Sacraments received with dates, name of church, and location

Adult Member of Family

First Last

Date of Birth

MM slash DD slash YYYY

Email

Place of Employment

Place of Employment and Job Description

List all Sacraments

Please list all Sacraments received with dates, name of church, and location

Children

Please list all children under the age of 21 (over the age of 21 are considered adults and should register on their own at the church where they attend.)

How many Children do you have?*

This includes children living at home and attending this parish

Child One

Name of Child*

First Last

Date of Birth*

MM slash DD slash YYYY

Name of School*

Grade Level*

List all Sacraments*

Please list all sacraments with dates, name of church, and location

Child Two

Name of Child*

First Last

Date of Birth*

MM slash DD slash YYYY

Name of School*

Grade Level*

List all Sacraments*

Please list all sacraments with dates, name of church, and location

Child Three

Name of Child*

First Last

Date of Birth*

MM slash DD slash YYYY

Name of School*

Grade Level*

List all Sacraments*

Please list all sacraments with dates, name of church, and location

Contact Info:

15700 South Military Trail
Delray Beach, Florida 33484
561-496-2480
Contact / Mass Times>>

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