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Parish Registration

- Liturgy/Sacraments

Confidential Information
Please answer all questions which apply. Your information will be kept confidential. You can also download the registration form if you perfer to complete it manually.
Thank You Fr. Roel
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- Household Last Name REQUIRED Maximum 30 characters
  Enter Head of household last name
  Please fill out this field. Please enter valid data.
- Address REQUIRED Maximum 30 characters
  Enter Street Addiress
  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.
- Mobile Phone Number Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Martial Status
  Please select one..
- Wedding Date Please enter a date.
- Wedding Location Please enter valid data.
- Wife's Maiden Name Please enter valid data.
- Children? If so how many? Please enter an integer (number).
- Are the children attending parish school of religion? If so, please indicate where? Maximum 40 characters
  Enter the name for the school
  Please enter valid data.
- Parents Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  Select correct option
  
  DOB REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Occupation Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Mother and Father names Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender
  Select correct option
  
  Occupation Please enter valid data.
  
  DOB REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Mother and Father names Please enter valid data.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB
  MM/DD/YYY
  Please enter a date.
  
  Place of Birth
  Enter place of birth
  Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Convert? REQUIRED Please fill out this field.
  
  Converted From? Please enter valid data.
  
  Parents Name Please enter valid data.
  
  Child 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB
  MM/DD/YYY
  Please enter a date.
  
  Place of Birth
  Enter place of birth
  Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Convert? REQUIRED Please fill out this field.
  
  Converted From? Please enter valid data.
  
  Parents Name Please enter valid data.
  
  Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB
  MM/DD/YYY
  Please enter a date.
  
  Place of Birth
  Enter place of birth
  Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Convert? REQUIRED Please fill out this field.
  
  Converted From? Please enter valid data.
  
  Parents Name Please enter valid data.
  
  Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB
  MM/DD/YYY
  Please enter a date.
  
  Place of Birth
  Enter place of birth
  Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Convert? REQUIRED Please fill out this field.
  
  Converted From? Please enter valid data.
  
  Parents Name Please enter valid data.
  
  Child 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  DOB
  MM/DD/YYY
  Please enter a date.
  
  Place of Birth
  Enter place of birth
  Please enter valid data.
  
  Religion Please enter valid data.
  
  Date of Baptism
  MM/DD/YYYY
  Please enter a date.
  
  Place of Baptism Please enter valid data.
  
  Convert? REQUIRED Please fill out this field.
  
  Converted From? Please enter valid data.
  
  Parents Name Please enter valid data.
- Would you like to receive St. Genevieve Contribution Envelopes?
- Would you like more information about one or more of our Ministries
  Select one or more ministries
  Adult Chior Altar Servers Charismatic Prayer Family Life Finance Council Fitness Ministry Golden Age Hospitality/Wedding Coordinator Knights of Columbus Ladies' Kaycees Ladies Altar Society Lectors Eucharist Minister Legion of Mary Liturgy Committee Pastoral Council Prayer Line/Prayer Shawl Parish School of Religion RITE of Christian Initiation of Adults (RCIA) Rite of Christian Initiation of Children (RCIC) Right to Life Men's Club Sacristan St. Vincent De Paul Ushers/Greeters Volunteers
- Please tell us about you and your family (Occupation, Talents, Skills, Hobbies, any special needs, etc.
- Please use this area to tell us anything else you would like us to know.
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Saint Genevieve

Mailing Address:
58025 St Genevieve Lane
Slidell, LA 70460w

Parish Registration