Registration/Update Form

- Welcome
Questions?
- Lori Donlon
  
  Business administrator
  
  434-293-8081 x313
  adminstauva.org
We welcome you to your new parish home! Click here to inform us as to your interests so we can help you become better involved!

Welcome!
The maximum number of form submissions has been reached. This form is currently not available.
- Please fill out the form below. Thank you for helping keep our registry up to date!
- Submission Type REQUIRED NEW REGISTRATION ADD ANOTHER FAMILY MEMBER UPDATE REGISTRATION PLEASE REMOVE ME FROM THE PARISH REGISTRY Please fill out this field.
- Family Information
- Were you previously registered in another parish in the Diocese of Richmond? Yes No
- If so, where? Please enter valid data.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address 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.
- Type of Phone REQUIRED Cell Work Home Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Do we have permission to publish your contact info within the parish? REQUIRED Yes No Please fill out this field.
- Title Mr Mrs Ms Dr
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Marital Status REQUIRED Single Married Divorced Widowed Please fill out this field.
- Position in Family REQUIRED Please fill out this field.
- If Other, specify here. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Language REQUIRED Please fill out this field. Please enter valid data.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- School (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- UVA Affiliation REQUIRED Please fill out this field.
- Work Phone Number Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Baptism Communion Confirmation Marriage
- Information for Spouse (if applicable)
- Title Mr Mrs Ms Dr
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Position in Family
- If Other, specify here. Please enter valid data.
- Date of Birth Please enter a date.
- Marital Status Single Married Divorced Widowed
- Religion Please enter valid data.
- Language Please enter valid data.
- Occupation Please enter valid data.
- School (if applicable) Please enter valid data.
- UVA Affiliation
- Work Phone Number Please enter a phone number.
- Email Please enter an email address.
- Sacraments Baptism Communion Confirmation Marriage
- I prefer to support the parish REQUIRED Please fill out this field.
- Notes (anything we may have missed)
- Children REQUIRED 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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  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.
  
  Birthdate REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  Child 7
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
  
  Child 8
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Baptism Date Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Sacraments Baptism Communion Confession Marriage
  
  School Please enter valid data.
Submit

Registration/Update Form

We welcome you to your new parish home! Click here to inform us as to your interests so we can help you become better involved!

Family Information

Information for Spouse (if applicable)