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Please Help Us Keep Our Parish Registry Up to Date

Please submit your basic household information below and we will be in touch to add any other needed information for the parish registry at a later time.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address Please enter valid data.
- 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Household Members ie. John Smith- spouse, Jane Smith-daughter
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Nativity of the Blessed Virgin Mary-Saint Louis Parish