St. Patrick Parish Registration Form

St. Patrick Church, Bisbee and St. Michael Mission, Naco

Thank you for registering as a parishioner of St. Patrick Roman Catholic Parish in Bisbee, Arizona.

Our parish is comprised of St. Patrick Church in Bisbee and St. Michael Mission in Naco. It is important that we have an accurate accounting of the familiies in our area that we serve.

If you prefer to use a paper copy of the registration form, you may find a registration form here. Copies of the registration form are also available at the parish office or in the church narthex. Paper copies should be returned to the church office or placed in the collection basket.

It is not necessary to complete both an on-line registration and a paper copy.

Head of Household

List (Dropdown)

Please tell us how your mail should be addressed: *

Name of head of household

First Name*

Middle Name

Last Name*

Residence information

This address should be WHERE YOU LIVE, which may be different from where you receive your mail.

Residence Address

Street 1*

Street 2

City*

State*

Zip*

Mailing information

Please tell us where you receive your mail.

Mailing Address

Street 1*

Street 2

City*

State*

Zip*

Other Contact Information

Home phone	--
Cell phone	--
Other phone	Message phone or other --
E-mail

Other Household Information

Name of Spouse

Title

First Name

Middle Name

Last Name

Spouse cell phone if different from Head of Household

Spouse e-mail if different from Head of Household

Names of children under 18 living with you. Children 18 and older should be registered separately with the parish.

Church Most Often Attended

List (Dropdown)	Required*

St. Patrick Parish Registration Form

St. Patrick Church, Bisbee and St. Michael Mission, Naco

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