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Home
About
Sacraments
Faith Formation
Ministries
News & Events
- - Parish Revival Night
  - Bulletins
School

New Parishioner Registration

Welcome

We're so glad you're here.
- New Parishioner Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  (New registrations only - to update existing family information please call the Parish Office at 512-352-2175. )
  
  Step 1:
  
  Head of Household
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthday REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Marital Status REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Step 2:
  
  Spouse
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Gender Female Male
  
  Marital Status
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Step 3:
  
  Family Mailing Address
  
  Line 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Line 2 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.
  
  Step 4:
  
  Additional Family Members
  
  Number of Members REQUIRED Please fill out this field.
  
  Member 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Member 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthday Please enter valid data.
  
  Member is a Minor Child REQUIRED Yes No Please fill out this field.
  
  Gender Female Male
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Step 5:
  
  Tithing
  
  Support Preference REQUIRED Please fill out this field.
  
  Submit
  
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Home
About
Sacraments
Faith Formation
Ministries
News & Events
- - Parish Revival Night
  - Bulletins
School

(512) 352-2175 Office Hours: M-F 9am-Noon, 1-4pm [email protected] 408 Washburn St Taylor, TX 76574

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