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- Head of Household Information
- Parish REQUIRED 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.
- Catholic (Head of Household) Yes No
- Mailing 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.
- Phone Number (Home) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Phone Number (Cell) (Head of Household) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email (Head of Household) Please enter an email address.
- Spouse's Information
- Spouse's Name Please enter valid data.
- Catholic Yes No
- Phone Number (Spouse's Cell) Maximum 20 characters Please enter a phone number.
- Email (Spouse) Please enter an email address.
- Number of Children Still Living at Home REQUIRED Please fill out this field.
  
  Child 1
  
  Name of Child Please enter valid data.
  
  Child 2
  
  Name of Child Please enter valid data.
  
  Child 3
  
  Name of Child Please enter valid data.
  
  Child 4
  
  Name of Child Please enter valid data.
  
  Child 5
  
  Name of Child Please enter valid data.
  
  Child 6
  
  Name of Child Please enter valid data.
  
  Child 7
  
  Name of Child Please enter valid data.
  
  Child 8
  
  Name of Child Please enter valid data.
  
  Child 9
  
  Name of Child Please enter valid data.
  
  Child 10
  
  Name of Child Please enter valid data.
- Below please list the first names of those in your family who are active in the following ministries:
- Lectors
- Eucharistic Ministers
- Altar Servers
- Other
- Please describe any sacraments you or a familiy needs (First Reconciliation, First Communion, Confirmation, Matrimony)
- Sacraments Needed
- Flock Notes Please DO NOT register me for Flock Notes
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St. Mary's

Catholic Church - Umbarger, TX

Parish Registration