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  • ST. PETER'S PARISHIONER REGISTRATION FORM

    Our Lady of the Rosary - 185 Hudson View Drive, Poughkeepsie, NY 12601

    www.stpetersparishny.com
  • Full Name REQUIRED Please fill out this field. Please enter valid data.
  • Mailing Address
    • Street/Number REQUIRED Please fill out this field. Please enter valid data.
    • Apt/Unit Please enter valid data.
    • City, State, Zip Code REQUIRED Please fill out this field. Please enter valid data.
  • Phone
    • Home Please enter valid data.
    • Cell Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter valid data.
  • Personal Details
    • Birth Year Please enter valid data.
    • Religion Please enter valid data.
    • Marital Status Please enter valid data.
    • Occupation Please enter valid data.
  • Sacraments (Received Dates)
    • Baptism Please enter valid data.
    • Holy Communion Please enter valid data.
    • Confirmation Please enter valid data.
  • Spouse
    • Name Please enter valid data.
    • Birth Year Please enter valid data.
    • Religion Please enter valid data.
    • Marital Status Please enter valid data.
    • Occupation Please enter valid data.
    • Sacraments (Received Dates)
    • Baptism Please enter valid data.
    • Holy Communion Please enter valid data.
    • Confirmation Please enter valid data.
  • Were you married in the Catholic Church? Yes No
  • If Yes, complete this section:
    • Wedding Date Please enter valid data.
    • Name of Church Please enter valid data.
    • Church Address Please enter valid data.
  • • Children at Home Please fill out this field.
    • Child 1
      • Name Please enter valid data.
      • Birth Year Please enter valid data.
      • Religion Please enter valid data.
      • School Name & Grade Please enter valid data.
      • Sacraments (Received Dates)
      • Baptism Please enter valid data.
      • Reconciliation Please enter valid data.
      • Holy Communion Please enter valid data.
      • Confirmation Please enter valid data.
    • Child 2
      • Name Please enter valid data.
      • Birth Year Please enter valid data.
      • Religion Please enter valid data.
      • School Name & Grade Please enter valid data.
      • Sacraments (Received Dates)
      • Baptism Please enter valid data.
      • Reconciliation Please enter valid data.
      • Holy Communion Please enter valid data.
      • Confirmation Please enter valid data.
    • Child 3
      • Name Please enter valid data.
      • Birth Year Please enter valid data.
      • Religion Please enter valid data.
      • School Name & Grade Please enter valid data.
      • Sacraments (Received Dates)
      • Baptism Please enter valid data.
      • Reconciliation Please enter valid data.
      • Holy Communion Please enter valid data.
      • Confirmation Please enter valid data.
    • Child 4
      • Name Please enter valid data.
      • Birth Year Please enter valid data.
      • Religion Please enter valid data.
      • School Name & Grade Please enter valid data.
      • Sacraments (Received Dates)
      • Baptism Please enter valid data.
      • Reconciliation Please enter valid data.
      • Holy Communion Please enter valid data.
      • Confirmation Please enter valid data.
    • Child 5
      • Name Please enter valid data.
      • Birth Year Please enter valid data.
      • Religion Please enter valid data.
      • School Name & Grade Please enter valid data.
      • Sacraments (Received Dates)
      • Baptism Please enter valid data.
      • Reconciliation Please enter valid data.
      • Holy Communion Please enter valid data.
      • Confirmation Please enter valid data.
  • Weekly Contribution Envelope Full Name: Please enter valid data.
  • On-Line Giving 
    ‘WeShare’ — Call 1-877-316-0260
    Parish ID # 527 - stpetersparishny.churchgiving.com
  • Sign up to receive parish texts/emails: https://stpeterspk.flocknote.com

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