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New Members

- About

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- New to the area, changing parishes, or just coming home again to SEAS? We are always looking for new members of our parish family. If you would like to join our Parish community, please fill out the following form.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- Street Address #2 (If necessary) Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Primary Phone Number REQUIRED
  If you do not wish for your phone number to be listed publicly, please add UL to number field.
  Please fill out this field. Please enter valid data.
- Primary E-Mail Contact Please enter valid data.
- Father Norm would like to meet with each new family. Please tell us what would be a good time to contact you: REQUIRED Please fill out this field. Please enter valid data.
- Indicate How You Would Like Your Mail Addressed REQUIRED Mr. Miss Mrs. Mr. and Mrs. Ms. Dr. Other Please fill out this field.
- If you answered 'Other' above, please put your preferred title here: Please enter valid data.
- Family Members Living at Home Over 21 Years of Age: REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Occupation Please enter valid data.
- Family Members Under 21 Years of Age Living at Home REQUIRED Please fill out this field.
  
  Family Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Family Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Family Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Family Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Family Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
  
  Family Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (If Different from Above) Please enter valid data.
  
  Date of Birth (MM/DD/YY) REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism Eucharist Confirmation
  
  Employer/School Please enter valid data.
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