Current Parishioner Update

Family Name: REQUIRED Please fill out this field. Please enter valid data.

Current Street Address: REQUIRED Please fill out this field. Please enter valid data.

City, State and Zip Code: REQUIRED Please fill out this field. Please enter valid data.

ID Number: Please enter valid data.

Do you wish to stay registered at SVdP? REQUIRED Yes No Please fill out this field.

Primary Phone Number: REQUIRED Please fill out this field. Please enter valid data.

Type Home Number Cellular Number (Husband) Cellular Number (Wife) Cellular Number (Single Adult-Head of Household)

Husband's First Name: Please enter valid data.

Phone Number: Please enter valid data.

Type Home Number Cellular Number

Email address: Please enter valid data.

Wife's First Name: Please enter valid data.

Phone Number: Please enter valid data.

Type Home Number Cellular Number

Email Address: Please enter valid data.

Single Adult-Head of Household First Name: Please enter valid data.

Phone Number: Please enter valid data.

Type Home Number Cellular Number

Email address: Please enter valid data.