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Parishioner Registration

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- ONLINE REGISTRATION
  
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  Household Information
  
  Household Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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 / Primary Phone REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Adult Household Members
  
  Adults in Household REQUIRED Please fill out this field.
  
  Adult 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.
  
  Maiden Name Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Wedding Date Please enter a date.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Work Phone Please enter a phone number.
  
  Special Needs Please enter valid data.
  
  Adult 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.
  
  Maiden Name Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Wedding Date Please enter a date.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Work Phone Please enter a phone number.
  
  Special Needs Please enter valid data.
  
  Adult 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.
  
  Maiden Name Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Wedding Date Please enter a date.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Work Phone Please enter a phone number.
  
  Special Needs Please enter valid data.
  
  Adult 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.
  
  Maiden Name Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Marital Status REQUIRED Please fill out this field.
  
  Wedding Date Please enter a date.
  
  Religion Please enter valid data.
  
  Occupation Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Please enter a phone number.
  
  Work Phone Please enter a phone number.
  
  Special Needs Please enter valid data.
  
  Children in Household REQUIRED Please fill out this field.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Child 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.
  
  Male / Female REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Date Baptized Please enter a date.
  
  Date 1st Communion Please enter a date.
  
  Date Confirmed Please enter a date.
  
  Current School Please enter valid data.
  
  Current Grade
  If it's unclear what school year is referenced, please clarify by including the school year, i.e. 2nd grade fall 2021.
  Please enter valid data.
  
  Special Needs Please enter valid data.
  
  Submit
  
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- More information
  
  - Register via Paper
  
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  - Get Involved
  
  - Children & Youth Faith Formation
  
  - Sacramental Preparation
  
  - Donate Today / Schedule Recurring Donations
  
  - Contact Us
- Not ready to register as a parishioner?
  
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- QUESTIONS?
  
  If you'd like to speak to someone before, during or after registration, please contact our office:
  
  Phone: 651-683-9808
  Email: reception@stbeagan.org
  
  Our staff is eager to speak with you!

Parishioner Registration

Adult Household Members