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417-887-6472

2200 W. Republic Rd., Springfield, MO 65807

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Parish Registration

Parish Registration Form

We're so happy that you've chosen to join our faith family!
Children who reach the age of 19 are required to complete their own Parishioner Registration Form.

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Surname

Today's Date

Street Address

City

State

Zip

Phone Unlisted

Yes

No

May we publish in church directory?

Yes

No

1st Head of Household - Marital Status

Single

Married by a Priest

Married

Separated

Divorced

Widowed

Wedding Anniversary

Place of marriage

1st Head of Household - First Name

1st Head of Household - Last Name / Maiden Name

1st Head of Household - Primary Phone Number

1st Head of Household - Additional Phone Number

1st Head of Household - Email Address

Gender

Male

Female

1st Head of Household - Date of Birth

1st Head of Household - Occupation

1st Head of Household - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

1st Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

2nd Head of Household - Marital Status

Single

Married by a Priest

Married

Separated

Divorced

Widowed

Wedding Anniversary

Place of marriage

2nd Head of Household - First Name

2nd Head of Household - Last Name / Maiden Name

2nd Head of Household - Primary Phone Number

2nd Head of Household - Additional Phone Number

2nd Head of Household - Email Address

Gender

Male

Female

2nd Head of Household - Date of Birth

2nd Head of Household - Occupation

2nd Head of Household - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

2nd Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Gender

Male

Female

Child - Date of Birth

School Grade

Child - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Gender

Male

Female

Child - Date of Birth

School Grade

Child - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Gender

Male

Female

Child - Date of Birth

School Grade

Child - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Gender

Male

Female

Child - Date of Birth

School Grade

Child - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

Child - First Name

Child - Last Name

Gender

Male

Female

Child - Date of Birth

School Grade

Child - Sacraments Completed

Baptized Catholic

First Confession

First Communion

Confirmation

Child - Church of Baptism

City

State

Additional Notes (If Applicable)

I would like to learn more about:

Liturgical Ministries

Music Ministry

Youth Ministry

Adult Religious Education

Children's Religious Education

Prayer & Spiritual Enrichment

Women's Groups

Men's Groups

Community Outreach

Event Volunteering

Prayer Requests / Remarks

Thank you for submitting your Parish Registration Form.

We will be in contact if we have any further questions. Or contact the Parish Office at 417-887-6472 if you have any questions.

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Our Location

2200 W. Republic Rd.

Springfield, MO 65807

Contact Us

417-887-6472

parishinfo@seaschurch.org

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