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Update Membership Information

Cluster Parish Registration

Welcome! If you would like to join our Parish, or you've recently changed mailing or phone information, please fill out the form below. This information will be used by the St Rose of Lima, St Anthony of Padua and Immaculate Conception Cluster Parishes to contact you regarding our Parishes. Your information will only be used for our records and will not be sold. Thank you for for taking this moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Register

Which Parish are you registering or updating membership?

St Rose of Lima, Lewiston

St Anthony of Padua, Altura

Immaculate Conception, Wilson

Is this information:

Brand New Information?

An Update to a Current Household Listing?

Free Text

______________________________________________________________

Family Last Name:

Physical Address:

Mailing Address if different from above:

Phone:

Other information:

Free Text

______________________________________________________________

Head of Household Adult 1 Information:

First and Last Name of Adult 1:

DOB

Phone Number:

Email

Status:

Married by Priest

Married (other)

Never Married

Widowed

Divorced

Separated

Date and Place of Marriage:

Sacraments:

Baptism

First Reconciliation

First Communion

Confirmation

Marriage

Month, Year, and Place of Baptism:

Ministries and Skills :

Free Text

______________________________________________________________

Adult Two Information:

First and Last Name of AdultTwo:

DOB:

Phone Number:

Email:

Status:

Married by Priest

Married (other)

Never Married

Widowed

Divorced

Separated

Date and Place of Marriage:

Sacraments:

Baptism

First Reconciliation

First Communion

Confirmation

Marriage

Month, Year, and Place of Baptism:

Ministries and Skills:

Free Text

______________________________________________________________

Dependent Children at Home

Children are considered members with their parents until they are adults; no longer a dependent or living at home. Once they are on their own, it is their responsibility to attend church and to register as a member independent of their parents

First Child Full Name:

DOB

First Child Sacraments Completed:

Baptism

First Reconciliation

First Communion

Confirmation

First Child Gender:

Male

Female

First Child Date and Place of each Sacrament completed:

Second Child Full Name:

DOB:

Second Child Sacraments completed:

Baptism

First Reconciliation

First Communion

Confirmation

Second Child Gender:

Male

Female

Second Child Date and Place of each Sacrament completed:

Third Child Name:

DOB:

Third Child Sacraments Completed:

Baptism

First Confirmation

First Communion

Confirmation

Third Child Gender:

Male

Female

Third Child Dates and Places of each Sacrament completed:

Fourth Child Name:

DOB:

Fourth Child Sacraments completed:

Option 1

Option 2

Option 3

Fourth Child Gender:

Option 1

Option 2

Option 3

Fourth Child Date and Place of each Sacrament completed:

Additional Children:

Children's areas of participation:

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Contact info

507-523-2428

180 S Fremont St, Lewiston, MN, 55952, United States

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