Registration Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Nickname / Apodo 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.

Home Phone Number / Telefono de Casa Please enter a phone number.

Cell Phone Number / Numero Celular REQUIRED Please fill out this field. Please enter a phone number.

Email / Correo Electronico Please enter an email address.

Ethnicity / Etnicidad Please enter valid data.

Employer / Empleador Please enter valid data.

Occupation / Trabajo Please enter valid data.

Languages (Other than English) / Idiomas (Ademas de Ingles) Please enter valid data.

Date of Birth / Fecha de Nacimiento REQUIRED Please fill out this field. Please enter a date.

Sacraments (select all that apply) / Sacramentos (todo el que aplique Baptism / Bautizo First Communion / Primera Comunion Confirmation / Confirmacion Marriage / Matrimonio

Previous Activities & Ministries / Actividades y Ministerios Previos Please enter valid data.

St. Matthew Catholic Church

215 Kirkley Road, Tyrone, GA 30290

Registration Form

New Parishioner Registration Form

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