Parish Registration

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

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 Phone Number REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Number Please enter valid data.

How many adults are you registering? 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 (if applicable) Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (if different) Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Marital Status REQUIRED Please fill out this field.
- Has this adult received any of the following sacraments? Baptism First Reconciliation First Communion Confirmation
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 (if applicable) Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (if different) Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Marital Status REQUIRED Please fill out this field.
- Has this adult received any of the following sacraments? Baptism First Reconciliation First Communion Confirmation
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 (if applicable) Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (if different) Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Marital Status REQUIRED Please fill out this field.
- Has this adult received any of the following sacraments? Baptism First Reconciliation First Communion Confirmation
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 (if applicable) Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (if different) Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Marital Status REQUIRED Please fill out this field.
- Has this adult received any of the following sacraments? Baptism First Reconciliation First Communion Confirmation
Adult 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.
- Maiden Name (if applicable) Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (if different) Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Marital Status REQUIRED Please fill out this field.
- Has this adult received any of the following sacraments? Baptism First Reconciliation First Communion Confirmation

Would you like to receive weekly envelopes for your parish stewardship commitment? REQUIRED Yes No I would prefer e-giving/online donation Please fill out this field.

Are there any gifts, talents, or skills you would like to offer to the parish community?

How many adults in your family are shut-in or infirmed at your home, reside in a nursing home, or reside at an assisted living facility, and would like pastoral visits and the celebration of the Sacraments? 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.
- Name and address of the residence or facility at which they reside REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
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.
- Name and address of the residence or facility at which they reside REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
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.
- Name and address of the residence or facility at which they reside REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
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.
- Name and address of the residence or facility at which they reside REQUIRED Please fill out this field.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.

All Saints on the Hudson Parish

Mechanicville & stillwater new york

Parish Registration