New Parishioner Registration

- New Parishioner Registration Form to Download
Pagosa Catholic Community Online Family Registration
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  Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email
  If you would like to be added to any eblasts the Church puts out on community events or closures please enter your email address.
  Please enter an email address.
  
  Date of Brith REQUIRED Please fill out this field. Please enter a date.
  
  Street 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.
  
  Mailing Address (If different from street address) Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Spouse First Name and Last Name Please enter valid data.
  
  Spouse Phone Number Maximum 20 characters Please enter a phone number.
  
  Spouse Email Please enter an email address.
  
  Spouse Date of Birth Please enter a date.
  
  If Married Catholic Marriage Civil Marriage Not Married
  
  Please list the First and Last Name of All Children Living at Home and their Date of Birth Please enter valid data.
  
  Would you like to receive envelopes for giving? REQUIRED Yes No Please fill out this field.
  
  Would you like to be added to the Pagosa Catholic Community eblast list? REQUIRED Yes No Please fill out this field.
  
  Submit
  
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Immaculate Heart of Mary/Pope John Paul II

353 S. Pagosa Blvd
Pagosa Springs, CO 81147
970-731-5744

New Parishioner Registration

Pagosa Catholic Community Online Family Registration