St. Patrick Church

Kokomo, Indiana

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Online Registration

- About Us
  - Our Parish
    
    Welcome to St. Patrick!
    What We Believe
    Our Staff
    Online Registration
    
    Online Registration Page 2
    
    Employment Opportunities
    Photo Albums
    Contact Us
  - Parish History
    
    Parish History
    Priests Throughout the Years
    Priests Born at St. Patrick
    Priests at St. Patrick over the Years
    Vocations in our Parish
  - Communications
    
    Bulletins
  - Giving
    
    Online Giving
    Stewardship
Have more members of your household? fill out:
- Online Registration Page 2

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- Parish Registration (Page 1)
  (Complete 1 per household)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Maiden Name Please enter valid data.
- Street 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 Please enter a phone number.
- Check if Unlisted Unlisted
- Cell Phone Number Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Marital Status (Select One)
- Marriage (Choose one if you are married)
- Date of Marriage (MM-DD-YYYY) Please enter valid data.
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