• Registration Form

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  • Register as Parishioner of : REQUIRED St Monica St Peter (Lithuanian) Please fill out this field.
  • Parishioner Information
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Nickname Please enter valid data.
    • Date of Birth REQUIRED Please fill out this field. Please enter a date.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
    • Occupation Please enter valid data.
    • Catholic? Yes No
    • Any Special Needs/Allergies we should be aware of?
  • Marital Status REQUIRED (Select One) Single Married Separated Divorced Other Please fill out this field.
  • Spouse Information
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Nickname Please enter valid data.
    • Date of Birth Please enter a date.
    • Email Please enter an email address.
    • Phone Number Maximum 20 characters Please enter a phone number.
    • Occupation Please enter valid data.
    • Catholic? Yes No
    • Any Special Needs/Allergies we should be aware of?
  • Secondary Phone Number Maximum 20 characters Please enter a phone number.
  • Address Line 1 REQUIRED Please fill out this field. Please enter valid data.
  • Address Line 2 Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • First and Last Name of Other Adults in Household
  • • Children REQUIRED Please fill out this field.
    • Child 1
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
    • Child 2
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
    • Child 3
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
    • Child 4
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
    • Child 5
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
    • Child 6
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Nickname Please enter valid data.
      • Sex None Female Male
      • Date of Birth Please enter a date.
      • Relationship to Head of Household (Son, Daughter, etc.) Please enter valid data.
      • Lives with You? None Yes No
      • Catholic? Yes No
      • Baptized? Yes No
      • First Communion? Yes No
      • Confirmation? Yes No
      • Attends Religious Education? Yes No
      • School or Work Place Please enter valid data.
      • Any Special Needs/Allergies we should be aware of?
  • Parish REQUIRED Saint Monica Church Saint Peter Church Please fill out this field.
  • You would like more information about: Parish Ministries Parish Events Faith Formation (Adults) Faith Formation (Children) Volunteer Opportunities
  • I would like: To sign up for email news and notifications from Parish To receive envelopes More information about online giving.
  • Were you previously registered in a parish within the Archdiocese of Boston? Yes No
  • If yes, please tell us where: (include previous parish name, town/city) Please enter valid data.
  • Comments or Additional Information

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