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Page Template 3
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 Surname
Date
Street Address
City
State
Zip
Family Status
Married
Divorced
Widow
Single
Home Phone Number
Cell Phone Number
Email Address
How many adults in your household?
How many children in your household?
Would you like to be contacted about any of the following Sacraments?
Baptism
Confession
1st Communion
Confirmation
Free Text
Head of Household
First Name
Last Name / Maiden
Date of Birth
Gender
Occupation
Religion
Free Text
Spouse
First Name
Last Name
Maiden Name
Date of Birth
Gender
Occupation
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221 4th Street N.
Breckenridge, MN 56520
218-643-5173
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