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New Parishioner Registration and Change of Address Form

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- GENERAL INFORMATION
  
  Are you a... REQUIRED New parishioner / family? Existing parishioner / family and would to change your address and information? Please fill out this field.
  
  Which Parish would you like to be registered with? REQUIRED
  Please tell us which parish you want to join and receive your registration form.
  St. Jude Thaddeus (Burkburnett) Christ the King (Iowa Park) St. Paul (Electra) Please fill out this field.
  
  Would you like to receive stewardship envelopes? REQUIRED
  Your contributions will be recorded and tracked for tax purposes. You will also receive a contribution statement at the end of the year with the amount of your stewardship to the parish. Envelopes are not required, but we can send them if you desired.
  Yes No Please fill out this field.
- YOUR 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.
- Spouse's Name (if applicable): Please enter valid data.
- Address 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- FAMILY INFORMATION
  
  Family member or child and date of birth: Please enter valid data.
  
  Family member or child and date of birth: Please enter valid data.
  
  Family member or child and date of birth: Please enter valid data.
  
  Family member or child and date of birth: Please enter valid data.
  
  Family member or child and date of birth: Please enter valid data.
  
  Family member or child and date of birth: Please enter valid data.
- MISCELLANEOUS INFORMATION
  
  Please list any ministries in our community for which you would like to volunteer or receive more information:
  We have many ministries and groups meeting at the parish to support and help one another to deepen our Catholic faith. Please indicate your area(s) of interest and we can connect you the proper one.
  
  Would you like to be contacted by the parish office to assist you with your registration or to get more information about the parish? REQUIRED Yes No Please fill out this field.
  
  Thank you for taking the time to fill out your registration form. We will keep your information confidential. Please let us know if we can be of help for you and your family in making you feel at home with our parish. God bless you.
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St. Jude Thaddeus, Christ the King,
& St. Paul Catholic Churches

600 DAVEY DRIVE, BURKBURNETT, TEXAS 76354 - (940) 569-1222
stjudeburkburnett@gmail.com

New Parishioner Registration and Change of Address Form