Register as a Parishioner

- About

We encourage you to fill out this form, whether you participate in the Xavier community, regularly or occasionally. Let us know how you would like correspondence to be addressed to your household.

ALL INFORMATION WILL BE HELD CONFIDENTIAL
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Address (Please include Apt Number) REQUIRED Please fill out this field. 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.
- Home/Main Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Work Phone Maximum 20 characters Please enter a phone number.
- Cell Phone Maximum 20 characters Please enter a phone number.
- Registration New Registration Re-Registering
- How long have you been attending Xavier? REQUIRED Please fill out this field. Please enter valid data.
- Marital Status
- Please give name, relationship, age of children, sacraments received in your household:
- Ministries at Xavier I am interested in
- Please list any medical problems, physical disabilities of which we should be aware:
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The Church of

St. francis xavier

Register as a Parishioner

ALL INFORMATION WILL BE HELD CONFIDENTIAL