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Register as a member of our parish region!

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UC Student? Sign up at Catholic Bearcat!

If you are interested in registering as a member of one of our parishes (St. Monica St. George Parish Newman Center, Annunciation of the Blessed Virgin Mary Parish, or Holy Name Parish), please fill out the form below!

If you are a college student, then connect with us on Catholic Bearcat!
Parish Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- At which parish would you like to register? REQUIRED Annunciation of the Blessed Virgin Mary Parish St. Monica St. George Parish Newman Center Holy Name Parish Please fill out this field.
- Head of Household
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were you baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received Baptism First Holy Communion Confirmation None
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
- If Married
  
  Spouse's Full Legal Name Please enter valid data.
  
  Sex
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Date of Birth Please enter a date.
  
  Religion Please enter valid data.
  
  If Catholic: at what parish was your spouse baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received Baptism First Holy Communion Confirmation None
  
  Occupation/School Please enter valid data.
- Do you have other relatives or children living with you? If so, list them below!
- Additional Family Members REQUIRED Please fill out this field.
  
  Family Member 1
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 2
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 3
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 4
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 5
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 6
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 7
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 8
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 9
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 10
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 11
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 12
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 13
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 14
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 15
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 16
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 17
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 18
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 19
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
  
  Family Member 20
  
  Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  If Catholic: at what parish were they baptized or entered the Catholic Church? Please enter valid data.
  
  Sacraments Received REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
  
  Occupation/School REQUIRED Please fill out this field. Please enter valid data.
- How would you like to give? REQUIRED Online (Electronic Giving) Check or cash (using contribution envelopes) Please fill out this field.
- What are some ways that you would like to be involved in our parish? REQUIRED Please fill out this field.
- How did you hear about us? REQUIRED Please fill out this field.
Submit

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  officeuptowncatholic.org