Parish Registration

Register as Parishioner of : REQUIRED St Monica St Peter (Lithuanian) Please fill out this field.

Parishioner Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Nickname Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
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.
Occupation Please enter valid data.
Catholic? Yes No
Any Special Needs/Allergies we should be aware of?

Marital Status REQUIRED Please fill out this field.

Spouse Information

Secondary Phone Number Please enter a phone number.

Address Line 1 REQUIRED Please fill out this field. Please enter valid data.

Address Line 2 Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

First and Last Name of Other Adults in Household

Parish REQUIRED Saint Monica Church Saint Peter Church Please fill out this field.

You would like more information about: Parish Ministries Parish Events Faith Formation (Adults) Faith Formation (Children) Volunteer Opportunities

I would like: To sign up for email news and notifications from Parish To receive envelopes More information about online giving.

Were you previously registered in a parish within the Archdiocese of Boston? Yes No

If yes, please tell us where: (include previous parish name, town/city) Please enter valid data.

Comments or Additional Information