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New Member Registration Form
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- Thank you for your interest in our parish! We would love to have you register so that we can keep in contact about the wonderful ministries at St. Pius X. Please fill out the form and submit it, and we will add you to our faith-filled family of parishioners!!
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address Title REQUIRED Please fill out this field.
- 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.
- Home Phone Number Maximum 20 characters Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Parish Donation Option REQUIRED I wish to donate online I will need envelopes for my donations Please fill out this field.
- 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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Place of Marriage (Name, City, State) Please enter valid data.
  
  Date of Marriage Please enter a date.
  
  Marriage Recognized by the Catholic Church? Yes No
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Special Needs
  
  Baptized REQUIRED Yes No Please fill out this field.
  
  Place of Baptism (Name of Church, City, State) Please enter valid data.
  
  Date of Baptism Please enter a date.
  
  Confirmed (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of Confirmation (Church, City, State) Please enter valid data.
  
  Date of Confirmation Please enter a date.
  
  First Holy Communion (Catholic or Orthodox only) REQUIRED Yes No Please fill out this field.
  
  Place of First Holy Communion (Church, City, State) Please enter valid data.
  
  Date of First Communion Please enter a date.
Submit

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St. Pius X Catholic Church

G3139 Hogarth Ave, Flint, MI 48532

Parish Registration

New Member Registration Form