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Our Parish
- Welcome
- Parish Info
- Councils & Committees
- The Parish Life Center
  - Parish Life Center
  - Room Registration Form
Our School
- - Welcome
Sacraments
Faith Formation
- Faith Formation Programs
- Discipleship and Evangelization
Ministries & Clubs
- - List of all ministries
- Liturgical Ministries
- Parish Ministries
- Clubs
- Outreach
My Account
Contact Us

Parish Registration Form

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  General Information
  
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  Phone Number Please enter a phone number.
  
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  Preferred method of tithing REQUIRED Offertory Envelopes Faith Direct (on-line giving) Please fill out this field.
  
  Registrant
  
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  Middle Name Please enter valid data.
  
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  Title
  
  Birthdate Please enter a date.
  
  Occupation Please enter valid data.
  
  Business Phone Please enter a phone number.
  
  Check all that apply Baptized Catholic 1st Communion 1st Penance Confirmation
  
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  Marriage Date Please enter a date.
  
  Spouse
  
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  Business Phone Please enter a phone number.
  
  Check all that apply Baptized Catholic 1st Communion 1st Penance Confirmed
  
  Marrital Status REQUIRED Married Married by Catholic priest Single Widowed Divorced Please fill out this field.
  
  Marriage Date Please enter a date.
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
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  Title
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 2
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 3
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 4
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 5
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 6
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 7
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 8
  
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  Title
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 9
  
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  Title
  
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  Check all that apply REQUIRED Baptized Catholic 1st Communion 1st Penance Confirmed Please fill out this field.
  
  Child 10
  
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9800 Baymeadows Rd.
Jacksonville, FL 32256

P: (904) 641-5838
F: (904) 641-9704

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