Join Our Parish :: St. Patrick - St. Anthony Church and The Franciscan Center for Urban Ministry

First Name *

Middle Initial

Last Name *

Street Address *

Town *

State *

Zip Code *

Date of Birth (mm/dd/yyyy)

Gender: *

Male

Female

Primary Phone Number *

Daytime Phone

Evening Phone

Primary Email Address *

Additional Household Member #1 Name (First & Last)

Household Member #1 Relationship

Spouse

Child

Other

Date of Birth (mm/dd/yyyy)

Additional Household Mbr #1 Email (If Spouse/Partner)

Gender

Male

Female

Additional Household Member #2 Name (First & Last)

Household Member #2 Relationship

Spouse

Child

Other

Date of Birth (mm/dd/yyyy)

Gender

Male

Female

Additional Household Member #3 Name (First & Last)

Household Member #3 Relationship

Spouse

Child

Other

Date of Birth (mm/dd/yyyy)

Gender

Male

Female

Additional Household Member #4 Name (First & Last)

Household Member #4 Relationship

Spouse

Child

Other

Date of Birth (mm/dd/yyyy)

Gender

Male

Female

Additional Family Members (Please include first name, last name, gender, and date of birth)

Please consider me a registered member at St. Patrick -St. Anthony Church.

Yes

No

Please send me parish offering envelopes.

Yes

No

Please have someone contact about how I might volunteer in the parish.

Yes

No

Regular Mass Schedule

Join Our Parish

Online Registration