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New Parishioner Registration

- WELCOME NEW PARISHIONERS!!
  
  We are glad to have you join us, and we pray that your time with us will be filled with peace, joy, and spiritual renewal. May you find here a place of welcome and encouragement, where you encounter Christ in our community of faithful.
- Instructions to Register with Holy Family, Clermont Co...
  
  Be sure to enter the information for each member of the family before submitting.
  
  When you are finished, send it to our parish office by clicking the Submit button. You will receive an email confirmation of your registration.
  
  You may contact the parish office anytime to update the information submitted.
  
  Thank you for registering. Welcome to Holy Family Parish!
- Printable Registration Form
  
  Parish Registration Form (for those who prefer not to register online)
- Online Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Registration Date REQUIRED Please fill out this field. Please enter a date.
  
  Select the Church within Holy Family, Clermont Co. that You Want to Join REQUIRED Please fill out this field.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Primary Family Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How do you wish to make weekly contributions? REQUIRED Envelopes Online Giving Please fill out this field.
  
  Concerns or information which you want the pastor to be aware?
  
  Any specific ways in which we can be of service or assistance to you? Please enter valid data.
  
  How Many Family Members? REQUIRED Please fill out this field.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  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.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Please enter valid data.
  
  First Communion Date Please enter a date.
  
  1st Communion Name, City and State Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Please enter valid data.
  
  Occupation or Retired Please enter valid data.
  
  Name of Employer Please enter valid data.
  
  Talents and / or passions this member wishes to share with our parish? Please enter valid data.
  
  Details about each family member:
  NOTE: If you are Catholic, please enter all sacramental information, as it is required for registration. Be sure to enter the information for each member of your family before submitting. You must click the Submit button when finished to save your entries and send them to our parish office.
  
  Submit
  
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New Parishioner Registration

Details about each family member: