• parishoner registration

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  • Parish REQUIRED Immaculate Conception - Perryton St. Peter's - Booker Please fill out this field.
  • Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Physical Address REQUIRED Please fill out this field. Please enter valid data.
  • Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Father's Name REQUIRED Please fill out this field. Please enter valid data.
  • Sacraments REQUIRED Baptized First Communion Confirmation Married in the Church Please fill out this field.
  • Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  • Sacraments REQUIRED Baptized First Communion Confirmation Married in the Church Please fill out this field.
  • • Children REQUIRED Please fill out this field.
    • Child 1
    • Child 2
    • Child 3
    • Child 4
    • Child 5
    • Child 6
    • Child 7
    • Child 8
  • Sacraments REQUIRED Baptized First Communion Confirmation Married in the Church Please fill out this field.

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