Welcome to St. Benedict/St. Elizabeth Parish! We look forward to meeting you soon. If
 you would like more information about our parish, we invite you to visit our web site at
 www.beparish.com for more information.

Click Submit Form to send this information to St. Benedicts/St. Elizabeth Parish.

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*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
  
  
Remarks    

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage
Ministries   Name Interested in Joining
  
  
  
Talents   Name Interested in Joining
  
  
  
Remarks    

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Alternate Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm