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Registration Test

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Registration

Registration is the official way we join a parish community. Many people think that because they attend a church they automatically belong. Membership requires signing up and formally enrolling yourself, but it is much more than just completing forms.

Registering in a parish is a statement of faith and confidence in the life and work of the parish. As a member of our parish, we are all here to help each other on our spiritual journey.

We invite you to complete the Form below and click the Submit button at the end to begin the process of joining the Parish Family of St. Patricks!
The maximum number of form submissions has been reached. This form is currently not available.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Cell Phone Number Maximum 20 characters Please enter a phone number.
- Family Email REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address (if different) Please enter valid data.
- List all persons living at the above address.
- Head of Household #1
- First and Middle Name Please enter valid data.
- Last Name and Maiden Name if Applicable REQUIRED Please fill out this field. Please enter valid data.
- Salutation REQUIRED Please fill out this field.
- Head of Household #2
- First and Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name and Maiden Name if Applicable REQUIRED Please fill out this field. Please enter valid data.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 2
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 3
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 4
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 5
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 6
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 7
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 8
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 9
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 10
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 11
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Child 12
  
  First and Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
- Relationship REQUIRED Please fill out this field. Please enter valid data.
Submit

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St. Patrick's Church

Serving Yorktown's Catholic COmmunity for Over 125 Years

Registration Test

Registration

Head of Household #1

Head of Household #2