Parishioner Registration / Change Form Parishioner Registration / Change Form Please indicate: * New Registration Change in Data Family Last Name: * Street Address: * City: * State: * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: * Phone Number: * E-mail Address: * Do not publish phone number in directory Do not publish please Address Mail To: * Mr. & Mrs. Mr. Mrs. Ms. Marital Status: Single Married Divorced Widowed Languages Spoken: Time and Talent: I have reviewed the Organizations and Time and Talent needs of St. James the Apostle. Add Family Member First Name * Last Name Sex Female Male Date Of Birth Phone Country of Origin Religion plus1 Add minus1 Remove Submit
