Welcome to San Jose! Please complete the form below to register as a parishioner with the parish. Date*Today's Date MM slash DD slash YYYY Name* First Last Date of Birth*Please enter your date of birth MM slash DD slash YYYY Address - include Apt. Number* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Enter Email Confirm Email Marital Status (check one): Married (church) Married (civil) Single Widowed Separated Divorced Religion Catholic Baptist Protestant Christian Sacraments ReceivedPlease mark all received Sacraments Select All Baptism Reconciliation First Communion Confirmation Family InfoSpouse Name Spouse First Name Spouse Last Name Spouse PhoneSpouse Date of Birth MM slash DD slash YYYY Spouse Religion Catholic Baptist Protestant Christian Spouse Received Sacraments Select All Baptism Reconciliation First Communion Confirmation Dependent Child 1 Name Dependent Child 1 First Name Dependent Child 1 Last Name Dependent Child 1 Date of Birth MM slash DD slash YYYY Dependent Child 1 Gender Male Female Dependent Child 1 Sacraments ReceivedPlease indicate all Sacraments your child has already received Baptism First Reconciliation First Communion Confirmation Dependent Child 2 Name Dependent Child 2 First Name Dependent Child 2 Last Name Dependent Child 2 Date of Birth MM slash DD slash YYYY Dependent Child 2 Gender Male Female Dependent Child 2 Sacraments ReceivedPlease indicate all Sacraments your child has already received Baptism First Reconciliation First Communion Confirmation Dependent Child 3 Name Dependent Child 3 First Name Dependent Child 3 Last Name Dependent Child 3 Date of Birth MM slash DD slash YYYY Dependent Child 3 Gender Male Female Dependent Child 3 Sacraments ReceivedPlease indicate all Sacraments your child has already received Baptism First Reconciliation First Communion Confirmation Dependent Child 4 Name Dependent Child 4 First Name Dependent Child 4 Last Name Dependent Child 4 Date of Birth MM slash DD slash YYYY Dependent Child 4 Gender Male Female Dependent Child 4 Sacraments ReceivedPlease indicate all Sacraments your child has already received Baptism First Reconciliation First Communion Confirmation
