Parish Registration Form

Welcome to St. Elizabeth Ann Seton Roman Catholic Church. Visit our web site at
www.seaslv.org for more information.

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Click Submit Form to send this information to St. Elizabeth Ann Seton Catholic Church.

*Required fields

*Family Option	New Family Information		Update Existing Family Information
			ID/Env:

Head of Household

*First Name		*Last Name
Middle Name

		*Birth Date
*Gender	Female Male
		Marital Status
Phone 1		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date
1st Comm		Date
Confirmation		Date
Marriage		Date

Spouse

First Name		Last Name
Middle Name

		Birth Date
Gender	Female Male

Phone 1		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date
1st Comm		Date
Confirmation		Date
Marriage		Date

Family Street Address
*Line 1
Line 2
*City
*State
*ZIP

Family Phone Numbers
	Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary		( ) - Unlisted
Email
*Email		Unlisted

Member 1		Type

First Name		Last Name
Middle Name
Relationship
		*Birth Date
*Gender	Female Male

Phone 1		( ) - Unlisted
Email 1		Unlisted
		Send Email Instead of Mail When Possible
Sacraments
Baptism		Date
1st Comm		Date
Confirmation		Date
Marriage		Date

Click Submit Form to send this information to St. Elizabeth Ann Seton Catholic Church.

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St. Elizabeth Ann Seton Catholic Church

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St. Elizabeth Ann Seton Catholic Church