Parish Registration

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- Church REQUIRED Please fill out this field.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Zip REQUIRED Please fill out this field. Please enter an integer (number).
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Head of Household
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
- Spouse [if any]
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Child/Other Member
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
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Catholic Churches of Western Alaska
St Joseph, St Jude, St Ann, St Francis Xavier

Nome, Little Diomede, Teller & Kotzebue Alaska
Frs. Alphonsus & Michael (907.443.5527)

Parish Registration