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Parish Registration Form

Parishioner Registration

We're so happy that you've chosen to join our faith family!

Parish Registration Form

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Name:

Street Address:

City:

State:

Zip:

Home Phone Number:

Cell Phone Number:

Family Email Address:

Marital Status:

Single

Widowed

Divorced

Married

Date & Place of Marriage:

Your Full Name (Maiden):

Date of Birth:

Gender:

M

F

Sacraments Completed:

Baptism

Communion

Confirmation

None

Church of Baptism:

Church of Confirmation:

Spouse Full Name (Maiden):

Date of Birth:

Gender:

M

F

Sacraments completed:

Baptism

Communion

Confirmation

None

List all Children, DOB, Gender, and Sacraments Completed:

We encourage financial support of the parish. Would you like to receive weekly collection envelopes?

Yes

No thank you... I will support the parish through Online Giving, monthly checks, or by other means

Emergency Contact:

Phone:

Relationship:

Additional notes:

Thank you for registering! We will get back to you as soon as possible. God bless!

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Mass Times & Directions

Contact

Parish Office: (352) 588-3641

Priest: (352) 710-8876

office@sacredheartdadecity.org

Parish Office Hours

Monday 11:00AM-3:00PM

Tuesday-Thursday 9:00AM-3:00PM

Location

Sacred Heart Catholic Church

32145 St. Joe Road
Dade City, FL 33525

Get Directions

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