St. Patrick Church

Kokomo, Indiana

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Online Registration II

- About Us
  - Our Parish
    
    Welcome to St. Patrick!
    What We Believe
    Our Clergy & Staff
    Contact Us
    Online Registration
    
    Online Registration Page 2
    
    Photo Albums
    Employment Opportunities
  - Parish History
    
    Parish History
    Priests Throughout the Years
    Priests Born at St. Patrick
    Priests at St. Patrick over the Years
    Vocations in our Parish
  - Bulletins
  - Giving
    
    Online Giving
    Stewardship

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- Online Registration (Page 2)
  
  Complete this page as many times as necessary for the number of members in your household.
- Last Name Please enter valid data.
- First Name & Middle Initial Please enter valid data.
- Informal Name Please enter valid data.
- Birthday (MM-DD-YYYY) Please enter valid data.
- Gender
- Salutation (Mr., Mrs., Miss, etc.) Please enter valid data.
- Relationship (Husband, Wife, Child, etc.) Please enter valid data.
- Religion
- Baptism
- Year & Place of Baptism Please enter valid data.
- Sacramental Status
- Employer or School Please enter valid data.
- Occupation or Grade Please enter valid data.
- Work Phone Please enter valid data.
- Religious Education
- Special Needs (if any) Please enter valid data.
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