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Parish Registration

- About & Parish Info

The maximum number of form submissions has been reached. This form is currently not available.
- Please complete the form that follows to register as a member of our parish community.
- Head of Household
  
  If both spouses are Catholic, "head of household" is the husband. In a marriage of mixed faiths, for parish purposes, "head of household" is the Catholic spouse. "Head of household" can also be a single person living alone or with dependents.
  
  Title/Título
  
  First Name/Nombre REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name/Inicial Please enter valid data.
  
  Last Name/Apellido REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix Maximum 7 characters Please enter valid data.
  
  Street Address/Dirección REQUIRED Please fill out this field. Please enter valid data.
  
  City/Ciudad REQUIRED Please fill out this field. Please enter valid data.
  
  State/Estado REQUIRED Please fill out this field.
  
  Zip Code/Código Postal REQUIRED Please fill out this field. Please enter valid data.
  
  Home Phone/Teléfono REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Email Address/Correo Electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Date of Birth/Fecha de Nacimientos REQUIRED Please fill out this field. Please enter a date.
  
  Religion REQUIRED Please fill out this field.
  
  Marital Status REQUIRED Please fill out this field.
  
  Received Sacrament of Marriage? REQUIRED
  If currently married within the Church.
  Please fill out this field.
  
  Date of Marriage Please enter a date.
  
  Received Sacrament of Baptism? REQUIRED Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Received Sacrament of Confirmation? REQUIRED Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Received First Communion? REQUIRED Please fill out this field.
  
  Occupation REQUIRED Please fill out this field. Please enter valid data.
  
  Are you a Student? REQUIRED Please fill out this field.
- Spouse's Information
  
  Complete this section if you are currently married and wish to register as a family.
  
  Title
  
  First Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Suffix Maximum 7 characters Please enter valid data.
  
  Cell Phone Please enter valid data.
  
  Work Phone Please enter valid data.
  
  Email Address Please enter an email address.
  
  Date of Birth Please enter a date.
  
  Religion
  
  Received Sacrament of Baptism?
  
  Date of Baptism Please enter a date.
  
  Received Sacrament of Confirmation?
  
  Date of Confirmation Please enter a date.
  
  Received First Communion?
  
  Occupation Please enter valid data.
  
  Are they a Student?
- Members of Household
  
  Includes children/dependents who are a.) less than 18 years of age, b.) college students whose permanent address is with their parents, or c.) adult children with disabilities who remain in the care of their parents. Adult children who wish to do so should register separately.
  
  Number of Children REQUIRED Please fill out this field. Please enter an integer (number).
  
  First Child's Name
  (First and Middle unless different from above.)
  Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Received Sacrament of Baptism?
  
  Received Sacrament of Confirmation?
  
  Received First Communion?
  
  Second Child's Name
  (First and Middle unless different from above.)
  Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Received Sacrament of Baptism?
  
  Received Sacrament of Confirmation?
  
  Received First Communion?
  
  Third Child's Name
  (First and Middle unless different from above.)
  Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Received Sacrament of Baptism?
  
  Received Sacrament of Confirmation?
  
  Received First Communion?
  
  Fourth Child's Name
  (First and Middle unless different from above.)
  Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Received Sacrament of Baptism?
  
  Received Sacrament of Confirmation?
  
  Received First Communion?
- Weekly Email Blast
  
  Would you like to receive a weekly email blast? *Please answer! If you do not answer question, we will have to contact you personally and get your permission to add you on our email blast REQUIRED Please fill out this field.
  
  Normal Mass Attendance REQUIRED
  Which Sunday Mass do you usually attend?
  Please fill out this field.
  
  Were you previously registered with another parish? REQUIRED
  If so, please contact that parish so they may update their records.
  Please fill out this field.
  
  How did you hear about our parish? REQUIRED Please fill out this field.
  
  Would you like more information about our ministries and programs? REQUIRED Please fill out this field.
  
  What type of ministry are you interested in?
  
  Comments
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St. Jude the Apostle

2403 McArthur Drive, Jacksonville, AR 72076

Parish Registration