Welcome to San Jose! Please complete the form below to register as a parishioner with the parish. Date*Today's Date Date Format: MM slash DD slash YYYY Name* First Last Date of Birth*Please enter your date of birth Date Format: MM slash DD slash YYYY Address - include Apt. Number* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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)SingleWidowedSeparatedDivorcedReligionCatholicBaptistProtestantChristianSacraments 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 Date Format: MM slash DD slash YYYY Spouse ReligionCatholicBaptistProtestantChristianSpouse 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 Date Format: MM slash DD slash YYYY Dependent Child 1 GenderMaleFemaleDependent 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 Date Format: MM slash DD slash YYYY Dependent Child 2 GenderMaleFemaleDependent 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 Date Format: MM slash DD slash YYYY Dependent Child 3 GenderMaleFemaleDependent 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 Date Format: MM slash DD slash YYYY Dependent Child 4 GenderMaleFemaleDependent Child 4 Sacraments ReceivedPlease indicate all Sacraments your child has already received Baptism First Reconciliation First Communion Confirmation
