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Register at St. Benedict

If you're new - please take a look at our Newcomer's Resource's page to learn more about how to get plugged in here at St. Benedict Church and learn more!

Newcomer's Resources >>
Welcome! We're so glad you're here!

To register and become a member of our parish, please complete the online form below or print off the registration form (see next tab) and drop it by the Parish Office or drop in the collection basket at Mass.
Documents
- St. Benedict Registration Form (Hard copy)
The maximum number of form submissions has been reached. This form is currently not available.
- 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.
  
  Birthdate (MMDDYYYY) Please enter a date.
  
  Gender
  
  Religion
  
  First Communion
  
  Confirmed
  
  Adult 1 Marital Status
  
  Occupation/Employer Please enter valid data.
- Adult 2
  
  First Name (Optional) Please enter valid data.
  
  Last Name (Optional) Please enter valid data.
  
  Birthdate (MMDDYYYY) Please enter valid data.
  
  Gender
  
  Religion
  
  First Communion
  
  Confirmed
  
  Adult 2 Marital Status
  
  Occupation/Employer Please enter valid data.
- Contact Information
  
  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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Second Email (Optional) Please enter valid data.
  
  Do you want to receive donation envelopes? Yes No No, I will use online giving
  
  May We List Address and Phone Number in Church Directory? Yes No
- Comments or Remarks
- Please Contact Me About (Check all that apply): Baptism Prep First Communion/First Penance Prep Confirmation Prep Marriage Prep Registering my children at St. Benedict School Making an Appointment with the Pastoral Coordinator
- Child 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate (MMDDYYYY) Please enter valid data.
  
  Gender
  
  Religion
  
  First Communion
  
  Confirmed
- Child 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate (MMDDYYYY) Please enter valid data.
  
  Gender
  
  Religion
  
  First Communion
  
  Confirmed
- Child 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Birthdate (MMDDYYYY) Please enter valid data.
  
  Gender
  
  Religion
  
  First Communion
  
  Confirmed
Submit
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Register at St. Benedict

Newcomer's Resources >>