Please enable JavaScript in your browser to complete this form.Do you have any children living at home? *YesNoIf you have children living at home please fill out the New Parishioner Child Registration Form for each child. https://holycrossverobeach.org/new-parishioner-child-registration/Title *Mr.Dr.Ms. Mrs.Mr. & Mrs.Mr. & Dr. Dr. & Mrs. Dr. & Dr.Family Last Name *1st Name *Dropdown *CatholicNon-CatholicDate of Birth *Occupation *2nd NameDropdownCatholicNon-CatholicDate of Birth *If no second person please mark NAOccupation *If no second person please mark NAMailing Street Address *City *Zip Code *Home Address (If different than above)CityZip CodeEnvelopes *YesNoOnline GivingPhone *Phone Type *HomeHis CellHer CellPhone *Phone Type *HomeHis CellHer CellEmail *Please type any additional information you would like us to have on record here: Submit
