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Registration Form

St. Philip the Apostle Parish Registration Form

Click Submit Form to send this information to St. Philip The Apostle.

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*Required fields

*Registration Option		Register a New Family		Update an Existing Family		*ID/Env:
		Call St. Philip The Apostle at (928) 474-2392, if you do not know your ID Number or Envelope Number.

Head of Household
Title		*First Name		*Last Name
Relationship		Middle Name				Maiden Name
		Birth Date		*Gender
				Marital Status
	Sacraments	Name		Received	Date
		Baptism
		1stHolyCommunion
		Confirmation

	Spouse
		First Name		Last Name
Relationship		Middle Name				Maiden Name
		Birth Date
				Marital Status
	Sacraments	Name		Received	Date
		Baptism
		1st Holy Communion
		Confirmation

			Family Street Address
		*Line 1
		Line 2
		*City
		*State
		*ZIP

			Family Mailing Address
		Line 1
		Line 2
		City
		State
		ZIP

			Family Phone Numbers
		*Primary	( ) – Unlisted
			Email
		*Email	Unlisted

Click Submit Form to send this information to St. Philip The Apostle.

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St. Philip The Apostle