Parishioner Registration / Change Form Parishioner Registration / Change Form Please indicate: * New Registration Change in Data Family Last Name: * Street Address: * City: * State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: * Phone Number: * E-mail Address: * Do not publish phone number in directory Do not publish please Address Mail To: * Mr.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 Add Remove Submit
