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Registration & Update Form

- Welcome!
  
  Thank you for already being a part of the St. Luke community, or wanting to join us. We are truly blessed to have you take part in the life of our parish.
  In order to better serve you and your family and keep our records up-to-date, we appreciate you taking the time to fill out the short form to the right.
- This form is not accepting responses at this time.
  
  Update or Registration? REQUIRED Update New Member Registration Please fill out this field.
  
  What year did you begin attending St. Luke Catholic Church? Please enter valid data.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Heads of Household REQUIRED Please fill out this field. Please enter valid data.
  
  Immediate Family Member Names 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.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type of phone Landline Cell
  
  Primary Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Preferred Language REQUIRED Please fill out this field. Please enter valid data.
  
  Ministry Involvement Please enter valid data.
  
  Would you like information on Sacramental Preparation and Faith Formation for children and adults? Yes No
  
  Would you like information on our parish ministries? Yes No
  
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