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Submission Type (select one)
NEW REGISTRATIONADD ANOTHER FAMILY MEMBERUPDATE REGISTRATIONPLEASE REMOVE ME FROM THE PARISH REGISTRY
Parish (select one)
St. Thomas AquinasSt. George
Were you previously registered in another parish in the Diocese of Richmond? YesNo
If so, where?
Family Last Name
Address
City
State
Zip
Family Phone Number
Type of Phone CellWorkHome
Your email
Do we have permission to publish your contact info within the parish? YesNo
I prefer to support the parish:
via envelopesvia online giving
Title MrMrsMsDr
First Name
Last Name
If wife, maiden name
Marital Status SingleMarriedDivorcedWidowed
Position in Family Head of HouseholdHusbandWifeSonDaughterOther (please specify below)
If other, specify here:
Date of Birth
Religion
Language
Ethnicity
Occupation
School (if applicable)
UVA Affiliation NoneStudentGrad StudentFacultyStaffAlumniRetired
Phone Number
Email
Sacraments BaptismCommunionConfirmationMarriageHoly Orders
Marital Status N/ASingleMarriedDivorcedWidowed
Position in Family N/AHusbandWifeSonDaughterOther (please specify below)
UVA Affiliation StudentGrad StudentFacultyStaffAlumniRetiredNone
Notes (anything we may have missed) (optional)
Child 1 Full Name
BoyGirl
Birth Date
Baptism Date
Church of Baptism
School
Child 2 Full Name
Child 3 Full Name
Child 4 Full Name
Notes
Please leave this field empty. Please leave this field empty.
Submit
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