St. Patrick Catholic Church

Canby, OR

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Online Registration Form
Forma de Registro

- Parish Life

Thank you for taking the time to register/ update your family information at St. Patrick, Canby.

Gracias por darse el tiempo para registrarse o actualizar la informacion de su familia en la Parroquia de San Patricio.
The maximum number of form submissions has been reached. This form is currently not available.
- Family Information / Información Familiar
- Family Last Name / Apellido de la Familia REQUIRED Please fill out this field. Please enter valid data.
- Street Address/PO Box - Dirección o PO Box REQUIRED Please fill out this field. Please enter valid data.
- Apt# / Apartamento # Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number/ # de Teléfono REQUIRED Please fill out this field. Please enter a phone number.
- Unlisted? Ya esta registrado? REQUIRED Yes No Please fill out this field.
- Family Email/ Correo Electrónico de la Familia REQUIRED Please fill out this field. Please enter an email address.
- Member Infomation/ Información de cada miembro de la Familia
  Please fill out Member Information for each family member.
  Por favor llene los espacios con la informacion de cada miembro de su familia
- Number of Additional Family Members/Numero de miembros de su familia REQUIRED Please fill out this field.
  
  Family Member/Miembro de su Familia 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
  
  Family Member/Miembro de su Familia 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Title/ titulo
  
  Status Head of Household / Responsable de la Casa Spouse / Esposo/a Child / Niño/a Friend / Amigo/a Other / Otro
  
  Cell Phone / Celular REQUIRED Please fill out this field. Please enter a phone number.
  
  Work Phone / Tel del Trabajo Please enter a phone number.
  
  Ext. / Extension Please enter valid data.
  
  Email Address / Correo Electronico Please enter an email address.
  
  Current Mariage Status / Estado Marital Married / Casado Single / Soltero/a Widow / Viudo/a Divorced / Divorcidao/a Annulment / Anulación matrimonial Other / Otro
  
  Religion / Religión Please enter valid data.
  
  Birthdate / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter valid data.
  
  Language other than English / Idioma Aparte del Ingles Please enter valid data.
  
  Employer / Empleador Please enter valid data.
  
  Occupation / Ocupación Please enter valid data.
  
  Sacraments / Sacramentos
  
  Baptism / Bautizado Yes / Si No
  
  1st Communion / Primera Comunión Yes / Si No
  
  Confirmation / Confirmación Yes / Si No
Submit

Online Registration Form Forma de Registro

Gracias por darse el tiempo para registrarse o actualizar la informacion de su familia en la Parroquia de San Patricio.

Online Registration Form
Forma de Registro