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Parish Registration
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- Welcome to Sacred Heart!
  We are so glad you have decided to join our parish! Please fill out the form below to register. The information you provide on this form will be used exclusively within the Church.
- 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Secondary Phone Number Maximum 20 characters Please enter a phone number.
- 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.
- Mailing Address (if different): Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Would you like to receive tithing envelopes? REQUIRED Yes No Please fill out this field.
- Number of Household Members (Including Head of Household) REQUIRED Please fill out this field.
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
  
  Household Member 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.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Personal Status REQUIRED Please fill out this field.
  
  Occupation Please enter valid data.
  
  Company/School REQUIRED Please fill out this field. Please enter valid data.
  
  Present Grade (If still in school)
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Sacraments Received Baptism 1st Reconciliation 1st Communion Confirmation Marriage
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Catholic Community of
Sacred Heart

310 Spring Ave., Troy, NY 12180
518-274-1363 M-Fri. 9-2

Parish Registration