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Parish Registration

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- We are happy that you have decided to join our parish. Please complete the form and submit. A member of the office will contact you soon.
- General Family Information
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Above Number Unlisted Yes No
- Offertory Preference Envelopes Online Giving Other
- Permission to Publish in Parish Directory
  Contact information may include photo, address, email, phone and children.
  Yes No
- Number of Family Members REQUIRED Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
  
  Family 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Number/Cell Number REQUIRED Maximum 20 characters
  Please list the best number to reach you.
  Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Work Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnic Type REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Primary Language REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Married in Catholic Church Married in Other Church Married in Civil Ceremony Single Divorced Widowed Married Unknown Please fill out this field.
  
  Sacrament Received Baptism Reconciliation Communion Confirmation Marriage
  
  If you know, please state the name of the church, city and state and date each sacrament was received. REQUIRED
  EX:Baptism,Erie, PA, 8/1956
  Please fill out this field.
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St. Peter Parish

Mary Esther, FL

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