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Become a Member

- Parish Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Contact Information
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Which parish would you like to join? REQUIRED Please fill out this field.
  
  Family Member Information-Head of Household
  
  Head of Household Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion REQUIRED Please fill out this field.
  
  Family Member Information-Spouse (if applicable)
  
  Spouse name (if applicable) Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Work Phone Number Please enter valid data.
  
  Cell Phone Number Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion REQUIRED Please fill out this field.
  
  Marital Status
  
  Marital Status REQUIRED Please fill out this field.
  
  Were you married in the Catholic Church? Yes No
  
  Date of Marriage REQUIRED Please fill out this field. Please enter a date.
  
  Family Member Information-Children (if applicable)
  
  How many children would you like to register with your family? REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Child 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Sacraments Received in the Catholic Church Baptism First Reconciliation First Communion Confirmation
  
  Grade in School
  
  Ministry Opportunities
  
  Please indicate any ministries, committes, or other Catholic service groups that you or members of your family are interested in being involoved with.
  
  Liturgy & Music Altar Server Art/Environment Cantor Choir Extraordinary Ministers of Holy Communion Lector Pianist/Organist Other Instrument Sacristan Usher
  
  Youth Religious Education Teach Catechism Cook a meal for Wednesday evening CCD Classes
  
  RCIA-Rite of Christian Initiation of Adults Join the Church Know more about the Church Sponsor a RCIA member
  
  Adult Faith Formation Attend Adult Bible Study Teach Adult Bible Study
  
  Family Life Welcome Committee Condolence Committee Homebound Outreach Marriage Mentors Transportation-rides to Mass Lead the Rosary before Mass
  
  Maintenance Committee Church Building Church Grounds Maryvale Building Maryvale Grounds Rectory Building Rectory Grounds Cemetery Grounds
  
  Parish Office Counting Collections Folding Bulletins
  
  Committees and Organizations Parish Pastoral Council Chairman of Funeral Committee Join Catholic Daughters Evangelization Committee Parish Finance Council Assist in Library Join Knights of Colombus
  
  Submit
  
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Gregory County Catholic

Catholic Ministry in Gregory County, South Dakota

Become a Member

Parish Registration Form