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Saint Joseph Parish Registration

- WELCOME

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- Welcome to Saint Joseph Parish, in Mechanicsburg PA! We are so glad you're here!
  
  Please complete the form below, which includes some questions required by the Diocese of Harrisburg. If you have any questions or need assistance, please send us an email. We will be happy to help you!
  
  You will receive a confirmation email soon after submitting your form. Someone in the Parish Office will be reaching out to you within a week.
  
  If you prefer to complete a paper registration form, please click here.
  
  We again welcome you here at Saint Joseph Parish!
  We look forward to worshipping with you!!!
  God Bless.
- Title for Head of Household REQUIRED Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname or Preferred Name Please enter valid data.
- Middle Name Please enter valid data.
- Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Email: Confirmation will be sent to this email address. REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Apt Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Ethnicity (for Diocesan use only) REQUIRED Please fill out this field.
- Religion REQUIRED Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation Marriage Holy Orders
- Marital Status REQUIRED Please fill out this field.
- If you are married, please complete the following:
- Date of Wedding Please enter a date.
- Name of Church or Location of Marriage, include City and State Please enter valid data.
- Occupation REQUIRED Please fill out this field. Please enter valid data.
- Title of Spouse - if applicable, if not, skip to Children, or click submit
- If other: Please enter valid data.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Nickname or Preferred Name Please enter valid data.
- Middle Name Please enter valid data.
- Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Phone Number Maximum 20 characters Please enter a phone number.
- Date of Birth Please enter valid data.
- Gender
- Religion
- Marital Status
- Ethnicity (for Diocesan use only)
- Occupation Please enter valid data.
- Children REQUIRED
  If you have children, please complete the information below.
  Please fill out this field.
  
  Child 1
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 2
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 3
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 4
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 5
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 6
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 7
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 8
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 9
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 10
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 11
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 12
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
  
  Child 13
  
  First - Middle - Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  City, State of Birth - Country if outside USA Please enter valid data.
  
  Sacraments Received
  
  Grade and School Attending, if applicable Please enter valid data.
- Permission to contact: Would it be ok if our parish ministries called or emailed you for parish related purposes only? REQUIRED
  Please select one.
  Yes No Please fill out this field.
Submit

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SAINT JOSEPH CATHOLIC CHURCH

Mechanicsburg, PA

Saint Joseph Parish Registration