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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land 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) Δ
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