• Welcome to Resurrection Parish! We are pleased to welcome you as a member of our parish family. Your registration helps us plan our parish ministries and activities and maintain communication with our community. Please complete the online registration form below or print the form here and drop it off at the parish office. Thank you! 
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  • Today's Date REQUIRED Please fill out this field. Please enter a date.
  • Family Name REQUIRED Please fill out this field. Please enter valid data.
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  • Spouse's Email Please enter an email address.
  • Spouse's Phone Number Maximum 20 characters Please enter a phone number.
  • • Number of Adults in Family 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.
      • Religion REQUIRED (Select One) Catholic Protestant Jewish Other Please fill out this field.
      • Occupation Please enter valid data.
    • Adult 2
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      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Religion REQUIRED (Select One) Catholic Protestant Jewish Other Please fill out this field.
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    • Adult 3
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      • Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Religion REQUIRED (Select One) Catholic Protestant Jewish Other Please fill out this field.
      • Occupation 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.
      • Religion REQUIRED (Select One) Catholic Protestant Jewish Other Please fill out this field.
      • Occupation Please enter valid data.
  • • Number of Children in Family 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
    • 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
    • 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
    • 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
    • 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
    • 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.
      • Gender REQUIRED Male Female Please fill out this field.
      • Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
      • Grade None Pre-K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College
      • Check Sacraments Received REQUIRED Baptism Penance Eucharist Confirmation None of the Above Please fill out this field.
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    State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

    Zip Please enter a zip code.
  • Donation Preference Envelopes Electronic
  • To setup electronic donations, please click here.
  • Do you have any gifts, talents, or hobbies you would like to share?
  • Previous parish activities that you have been involved with?
  • Do you have any elderly or shut-ins in your home who would like to receive Eucharist? None Yes No
  • If yes, please list their name and phone number. Please enter valid data.
  • Do you wish to confer with one of the following concerning a situation you need clarified? None Priest Deacon Staff Member
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