Assumption-Mattese

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Welcome to Assumption Parish!
The maximum number of form submissions has been reached. This form is currently not available.
- We are so excited
  to welcome you
  into our
  Assumption Parish Family!
  
  Please note that to complete this registration, we need as many accurate dates of sacraments as you are able to provide. If you cannot remember a certain date, you may need to contact the church where that sacrament was bestowed. If you need our Parish Office Staff to help you in this matter, please let us know before filling out this form! Thank you for your cooperation with this very important aspect of our parish recordkeeping!
- Date of registration REQUIRED Please fill out this field. Please enter a date.
- May we include your family phone number in the Parish Directory? REQUIRED Yes No Please fill out this field.
- Please list the name of a close relative or neighbor as an emergency contact: REQUIRED Please fill out this field. Please enter valid data.
- Please list the phone number of your emergency contact: REQUIRED Please fill out this field. Please enter valid data.
- Please list the information
  for the primary contact
  of your family first.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name Please enter valid data.
- Gender? REQUIRED Male Female Please fill out this field.
- Maiden Name Please enter valid data.
- Title (Mrs. Mrs. Miss, Ms., Dr.) REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Home Phone Number, if applicable Please enter a phone number.
- Street (& Apt. #) 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.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Weekly Giving Preference REQUIRED Online Giving Envelopes Other Please fill out this field.
- If you just marked "Other", what is your preferred weekly giving preference? Please enter valid data.
- Please fill out as many
  accurate dates as you can.
- Have you been baptized Catholic? REQUIRED Yes No Please fill out this field.
- Date Please enter a date.
- Have you been received the sacrament of Confirmation? REQUIRED Yes No Please fill out this field.
- Date Please enter a date.
- Have you been received the sacrament of First Communion? REQUIRED Yes No Please fill out this field.
- Date Please enter a date.
- Have you been married in the Church? REQUIRED Yes No I am not married Please fill out this field.
- Date Please enter valid data.
- Are you an Assumption Alumni? If yes, which year did you graduate? REQUIRED Please fill out this field. Please enter valid data.
- Are you married? If yes, put 1. If no, put 0. REQUIRED Please fill out this field.
  
  Spouse 1
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Maiden Name Please enter valid data.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Is your spouse an Assumption Alumni? If so, which graduation year? REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
- Do you have children? If yes, put the number of how many below. If no, put 0. REQUIRED Please fill out this field.
  
  Child 1
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 3
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 4
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 5
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 6
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 7
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 8
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 9
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 10
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 11
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 12
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Child 2
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter a date.
- Do you have any dependent adults living with you? If yes, put the number of how many below. If no, put 0. REQUIRED Please fill out this field.
  
  Dependent Adults 1
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 3
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 4
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 5
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 6
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 7
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 8
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 9
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 10
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 11
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 12
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Dependent Adults 2
  
  Gender REQUIRED Male Female Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of birth REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Single Married Separated Divorced Widowed Please fill out this field.
  
  Is this person an Assumption Alumni? If yes, which year did they graduate? Please enter valid data.
  
  Special Needs, if any Please enter valid data.
  
  Occupation Please enter valid data.
  
  Is this person retired? REQUIRED Yes No Please fill out this field.
  
  Baptized? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Received First Communion? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
  
  Confirmed? REQUIRED Yes No Please fill out this field.
  
  Date Please enter valid data.
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Online Registration

We are so excited to welcome you into our Assumption Parish Family!

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We are so excited
to welcome you
into our
Assumption Parish Family!

Please fill out as many
accurate dates as you can.