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About   >   Become a Member   >   Online Parishioner Registration

Thank you for registering at Saint Alphonsus Liguori Catholic Church, your new spiritual home.
We are so thankful you are joining us. God bless you and those that you love.

Contact Information Form Fields to collect a visitor's name, e-mail, phone number, address, etc.
Family Last Name*
Home Address*
City/Zip Code*
Home Phone
Unlisted?	(Select One) Yes No
Former Parish & Location
Ministry Involvement Describes involvement in ministry at former parish.
What ministries were you involved with at your former parish?*
Are you interested in continuing in that ministry or ministries?	(Select One) Yes No
In what ministries are you interested in serving?
Family Members Family Members
HEAD OF HOUSEHOLD: Name: (first & middle) *
Nickname
Work Phone
Preferred Title	(Select One) Dr. Mr. Mrs. Miss Ms. Fr. Dcn.
Cell Phone
Email Address
Birth Date*	(MM/DD/YYYY)
City and State of Birth*
Gender*	Male Female
Religion*
Status*	Married Single Divorced Widowed Priest/Religious
Occupation
Baptized?*	Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?*	Yes No
Confirmation?*	Yes No
Church Name & Location where Baptized
Spouse, if applicable: Last Name (if different), First & Middle
Nickname
Preferred Title	(Select One) Dr. Mr. Mrs. Miss Ms.
Work Phone
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Status	(Select One) Married Single Divorced Widowed
Occupation
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
IF MARRIED: Date of Marriage	(MM/DD/YYYY)
Marriage Recognized by the Catholic Church?	(Select One) Yes No
Wife's Maiden Name
Child 1 (under  age  23  living  at  home;  over  age  23  should  register  separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Child 2 (under age 23 living at home; over age 23 should register separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Child 3 (under age 23 living at home; over age 23 should register separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Child 4 (under age 23 living at home; over age 23 should register separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Child 5 (under age 23 living at home; over age 23 should register separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Child 6 (under age 23 living at home; over age 23 should register separately)
Name: Last Name (if different), First & Middle
Nickname
Cell Phone
Email Address
Birth Date	(MM/DD/YYYY)
City and State of Birth
Gender	(Select One) Male Female
Religion
Baptized?	(Select One) Yes No
Baptism Date	(MM/DD/YYYY)
First Holy Communion?	(Select One) Yes No
Confirmation?	(Select One) Yes No
Church Name & Location where Baptized
Security Code*	(Enter the code above)