St. Peter the Apostle

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Registration

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Please complete the form below. We may contact you for follow up information if needed.
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- Last Name REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname (if any) Please enter valid data.
- Date of Birth Please enter a date.
- Street Address REQUIRED Please fill out this field.
- 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- If other adult in home, list name and date of birth Please enter valid data.
- Nickname (if any) Please enter valid data.
- Married Yes No
- Other email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Are you moving here from another parish? If yes, which one? Please enter valid data.
- Any Children under 18 living at home? (Adults over 18 are encouraged to register separately) REQUIRED Yes No Please fill out this field.
- List names and date of birth for all children living at home Please enter valid data.
- I agree to submit this information electronically. I understand the parish may contact me for follow up information. You may email me at the email addresses provided above and add my name to parish email lists.
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