• Welcome to St. Jerome Catholic Church!  We warmly welcome you to officially join our parish family by registering as a member.  
  
  To register at St. Jerome's, please complete the form below.  Welcome to our Parish Family!
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  • Parishioner Registration Form
  • 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. Please enter valid data.
  • Zip REQUIRED Please fill out this field. Please enter valid data.
  • Family E-mail REQUIRED Please fill out this field. Please enter valid data.
  • Would you like to keep your contact information unlisted? Yes No
  • Head of Household (First Name) REQUIRED Please fill out this field. Please enter valid data.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Ethnicity Please enter valid data.
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation Holy Matrimony
  • Marital Status Catholic Married Other Church Married (non-Catholic) Civil Union Single Divorced Separated Widowed
  • Do you want collection envelopes? (Select no if you'd prefer to give online) Yes No
  • Spouse Name (if married) Please enter valid data.
  • Phone Number Maximum 20 characters Please enter a phone number.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation Holy Matrimony
  • Marriage Date/Church Please enter valid data.
  • Child's Name Please enter valid data.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation
  • Child's Name Please enter valid data.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation
  • Child's Name Please enter valid data.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation
  • Child's Name Please enter valid data.
  • Birth Date Please enter valid data.
  • Gender Male Female
  • Sacraments Received Baptism First Reconciliation First Communion Confirmation
  • Name of family member with Ministry wanting to become active in:

    Please see Ministries.

  Submit

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