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Parish Registration

Please submit the form below to register with the parish or to submit an email address.

Information is sent directly to the parish office.
New Parishioner - Parish Registration
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address 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.
- Contact Information
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Stay Connected to Our Parish REQUIRED I would like to receive parish updates, and news from this email. I do not want to receive parish updates and news to my email. Please fill out this field.
- Online Giving https://www.wesharegiving.org/app/giving/WeShare-20000053?tab=home
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Parish of St. Theresa of the infant jesus