&lt;span&gt;Parish Registration&lt;/span&gt;

Name of Head of Household (Last, First, Middle Initial) REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Address (Street) REQUIRED Please fill out this field. Please enter valid data.

Address (City, State, Zip Code) REQUIRED Please fill out this field. Please enter valid data.

Mailing Address (if different from above) Please enter valid data.

Primary phone (label as home, cell, etc.) REQUIRED Please fill out this field. Please enter valid data.

Other phone (label as cell, home, etc.) Please enter valid data.

Email address Please enter valid data.

Place of employment Please enter valid data.

Work phone Please enter valid data.

Occupation Please enter valid data.

Catholic? REQUIRED Yes No Please fill out this field.

Sacraments received Baptism First Reconciliation First Communion Confirmation

Marital Status Please enter valid data.

Date of Marriage Please enter valid data.

Married in a Catholic Church by a priest or deacon? Yes No

Emergency Contact (Name and phone) Please enter valid data.

Spouse (Last, First, Middle Initial) Please enter valid data.

Date of Birth Please enter valid data.

Cell phone Please enter valid data.

Email address Please enter valid data.

Place of Employment Please enter valid data.

Work phone Please enter valid data.

Occupation Please enter valid data.

Catholic? Yes No

Sacraments received Baptism First Reconciliation First Communion Confirmation

Emergency Contact, if different from above (Name and phone) Please enter valid data.

Do you wish to have your information (name/address/primary phone only) published in our Parish Directory? REQUIRED Yes No Please fill out this field.

I would like to support Most Holy Trinity REQUIRED through the convenience of online giving, which I will initiate at www.mhtcc.net by receiving donation envelopes in the mail other Please fill out this field.

Any additional comments:

Date Submitted Please enter valid data.

FOR OFFICE USE ONLY (TO BE COMPLETED BY MHT)
Entered into Parish Soft
Entered into church budget
Check form and email ministries
Mail welcome letter
Mail envelopes
ID# Please enter valid data.

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