Click Submit Form to send this information to Holy Redeemer Catholic Church.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  
       Note: Just enter the field(s) that need to be updated.
Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Remarks    
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible
Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    
Member 2   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    
Member 3   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    
Member 4   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    
Member 5   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    
Member 6   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Religion   Language Marital Status
  Occupation
  Handicap
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   1st Comm
   Confirmation
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
Remarks    

Click Submit Form to send this information to Holy Redeemer Catholic Church.