Jesus, my God, here present in the Sacrament of Thy love, I adore Thee.

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Event Calendar

Annulments
Thursday, February 23
7:30 am
Friday, February 24
7:30 am
† Elizabeth Seck
Saturday, February 25
5:00 pm
† Ryan & Warren Schlesiger
Sunday, February 26
8:00 am
† Efrain DeJesus
9:30 am
† Dan Dowd
11:00 am
† George Chludzinski
Monday, February 27
7:30 am
† Mario & Beatrice Capobianco
Tuesday, February 28
7:30 am
† Rayn Pontecorvo
Wednesday, February 29
7:30 am
No Mass

St. Rose Philippine Duchesne Parish Family Registration Form

Forms to Download

You can also download the registration form, print it and turn it in.

Thank you for taking a moment to complete our online registration form. If you prefer, you may download and print the registration form and turn it in to the Parish Office.

Please complete all fields for each family member. Items in red are required fields

Family Information

Family Last Name:
Home Phone:
Address:
City:
State:
Zip:

Head of House


First Name:
Birthdate:
Email:
Marital Status:
Date of Marriage:

Occupation:
Cell Phone:
Business Phone:

Spouse / Other Adult


First Name:
Birthdate:
Email:
Occupation:
Cell Phone:
Business Phone:

Children (living at home)

Child's Name:
Last Name:
Gender:
Birthdate:
Child's Name:
Last Name:
Gender:
Birthdate:
Child's Name:
Last Name:
Gender:
Birthdate:
Child's Name:
Last Name:
Gender:
Birthdate:
Child's Name:
Last Name:
Gender:
Birthdate:
Child's Name:
Last Name:
Gender:
Birthdate:

Additional important information or comments

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