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Parish Registry Update

- If anyone in your family has ever received a sacrament or had a funeral at St. Patrick, please fill out this form. (When you click Submit, it will be emailed to the church office.)
  
  If you prefer to fill out a paper form, print out this form and fill it out, then return it to the church office or place it in the collection basket. (Please type or clearly print.)
  
  You may contact the parish office for more information at 512-759-3712 or [email protected].
- The maximum number of form submissions has been reached. This form is currently not available.
  
  YOUR name (person filling out this form, in case we have questions)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Personal information of person who received sacraments
  
  Please fill in the name exactly as listed on the birth certificate.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name (enter --- if no middle name) REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Suffix (Jr., II, III, IV, etc.) Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Birth Information
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  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.
  
  (If you don't know the ZIP code, please just put 00000.)
  
  Parents' Information
  
  Father
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Maiden Name
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament of Baptism
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Name of Minister (Priest or Deacon) REQUIRED Please fill out this field. Please enter valid data.
  
  Church where baptized 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.
  
  (If you don't know the ZIP code, please just put 00000.)
  
  Godparents:
  
  Godfather
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Godmother
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sacrament of First Holy Communion
  
  First Holy Communion Information
  
  Date of First Holy Communion Please enter a date.
  
  Name of Priest/Bishop Please enter valid data.
  
  Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Sacrament of Confirmation
  
  Date of Confirmation Please enter a date.
  
  Patron Saint Name Please enter valid data.
  
  Name of Bishop/Priest Please enter valid data.
  
  Church Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Sacrament of Marriage
  
  Date of Marriage Please enter a date.
  
  Officiant Please enter valid data.
  
  Residence at the time of Marriage
  
  Street Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Spouse's Information
  
  Please fill in the name exactly as listed on the birth certificate.
  
  First Name Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Suffix (Jr., II, III, IV, etc.) Please enter valid data.
  
  Spouse's Residence at the time of Marriage
  
  Residence at the time of marriage
  
  Street Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Spouse's Sacrament of Baptism
  
  Date of Baptism Please enter a date.
  
  Name of Minister (Priest or Deacon) Please enter valid data.
  
  Church where baptized Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Spouse's Parents' Information
  
  Father
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Mother's Maiden Name
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Witnesses
  
  (usually Maid/Matron of Honor and Best Man)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Funeral Mass or Ceremony
  
  Date of Death Please enter a date.
  
  Age at time of death Please enter an integer (number).
  
  Attending Priest/Deacon Please enter valid data.
  
  Casket Burial
  
  Date of Burial Please enter a date.
  
  Cemetery of Burial Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Cremation
  
  Date of Cremation Please enter a date.
  
  Location of Burial of Remains Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Deceased's Closest Living Relative
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Street Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Submit
  
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