Parish Registration

Family Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Family 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.

Which Mass do you typically attend? REQUIRED Please fill out this field.

Member One

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.
Gender REQUIRED Please fill out this field.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Occupation REQUIRED Please fill out this field. Please enter valid data.
Please check the Sacrament(s) you have received. REQUIRED Baptism First Communion Confirmation Marriage Please fill out this field.

Member Two

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
Email Please enter an email address.
Phone Number Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) you have received. Baptism First Communion Confirmation Marriage

Child One

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation

Child Two

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation Marriage

Child Three

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation Marriage

Child Four

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation Marriage

Child Five

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation Marriage

Child Six

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter a date.
Gender
School (if applicable) Please enter an email address.
Current Grade Maximum 20 characters Please enter a phone number.
Occupation Please enter valid data.
Please check the Sacrament(s) they have received. Baptism First Communion Confirmation Marriage

Additional Information

What is your preferred Method of giving? Please send mail me Parish Envelopes I prefer to use Online Giving
Click here to sign up for Online Giving!
Anything else you want us to know?

St. James Parish