Registration

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Looking to become a member at St. Anne's? Fill out the registration form below. Curious about our worship space? Peruse some photos or stop in and have a look!
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- Automatic Deposit Form
St. Annes Registration
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- Date REQUIRED Please fill out this field. Please enter a date.
- Introduction to St. Annes from Host Couple
  If yes, you will recieve a call from a host couple from St. Annes welcoming you to the parish.
  Yes No
- HEAD(S) OF HOUSEHOLD ( Please list separately)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Religion (ex. Catholic) Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
  
  Place of Employment Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Household Address REQUIRED Please fill out this field. 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.
- Relationship Status Single Married Widowed Divorced
- If Married, Date Please enter valid data.
- In the Catholic Church (Y/N) Please enter valid data.
- If No, was permission granted by the Bishop (Y/N) Please enter valid data.
- Place of Wedding (Church, City, State) Please enter valid data.
- SPOUSE
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Religion (ex. Catholic) Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
  
  Place of Employment Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
- DEPENDENT
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender M F
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
- DEPENDENT
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender M F
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
- DEPENDENT
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender M F
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
- DEPENDENT
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender M F
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
- DEPENDENT
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Gender M F
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Sacraments Received ( check all that apply) Baptism Confirmation
  
  If you have more dependents the spaces avaiable please contact the parish office @ 223-1549.
Submit

Church of Saint Anne

Bismarck, ND

Registration

A look inside St. Anne's

Automatic Deposit form

St. Annes Registration