New Parishioner Registration Parishioner Registration Form Family Information(Required) Head of Household First Name Head of Household Last Name Spouse First Name (if applicable) Spouse Last Name (if applicable) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you want your address/phone numbers/email to be listed in parish publications?(Required) YES NO Photography Publication(Required) I give permission for any photographs of me or my family to be published on the Saint James website, social media or promotional material.Signature(Required)Head of Household InformationName(Required) First Name Middle Last Name Maiden Name Suffix Title Cell Phone(Required)Home PhoneGender(Required) Email(Required) Marital Status(Required) Birthdate(Required) Grad Year/ Grade/ Degree(Required) Religion(Required) Ethnicity(Required) Language(Required) Handicap Place of Employment(Required) Occupation(Required) Baptism (Date, Church, Address) Matrimony (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Additional Family MembersSpouse's Name (If applicable) First Name Middle Last Name Maiden Name Suffix Title Cell PhoneHome PhoneGender Email Marital Status Birthdate Grad Year/ Grade/ Degree Religion Ethnicity Lanuage Handicap Occupation Place of Employment Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Matrimony (Date, Church, Address) Number of Children012345678910Child #1 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #2 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #3 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #4 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #5 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #6 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #7 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #8 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #9 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Child #10 Name First Middle Last Gender Birthdate Religion Grade HS Grad Year Ethnicity Language Handicap Baptism (Date, Church, Address) Reconciliation (Date, Church, Address) Communion (Date, Church, Address) Confirmation (Date, Church, Address) Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Pinterest (Opens in new window)Click to print (Opens in new window)MoreClick to share on Skype (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Reddit (Opens in new window)
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