Parish Membership Directory

Please fill out the following information. Know that your information will be used only for parish communication and, if you choose, included in the printed parish directory.

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Household Information / Información del Hogar

Household Name / Nombre del Hogar *

Address / Dirección

Address Line 1

Address Line 2

City

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Zip Code

Preferred Language(s) / Idioma(s) Preferido(s)

• English
• Español
• Both

Primary Phone / Teléfono Principal

Primary Email / Correo Electrónico Principal *

For each household member / Para cada miembro del hogar

Name/s / Nombre(s)

/ Language(s) Email

Visibility Preferences / Preferencias de Visibilidad

Please include the following in the printed parish directory: Por favor incluya lo siguiente en el directorio parroquial impreso:

• Name / Nombre
• Photo / Foto
• Phone / Teléfono
• Email / Correo electrónico
• Address / Dirección
• Do NOT include my information; parish office use only NO incluir mi información; solo para uso de la oficina parroquia

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