Become a Member of Saint Benedict Cathedral Parish Parish Registration Form Family Last Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Adult #1* First Last Nickname (Adult #1)Date of Birth (Adult #1)* Date Format: MM slash DD slash YYYY Religion (Adult #1)*Occupation (Adult #1)Employer (Adult #1)Education/School (Adult #1)Email (Adult #1)* Work Phone (Adult #1)Cell Phone (Adult #1)Marital Status*MarriedSingleDivorcedSeparatedWidowedType of Wedding (if applicable)CatholicOther ChristianCivil CeremonyDate of Marriage Date Format: MM slash DD slash YYYY Click to Add Another Adult Add Adult Adult #2* First Last Nickname (Adult #2)Date of Birth (Adult #2)* Date Format: MM slash DD slash YYYY Religion (Adult #2)*Occupation (Adult #2)Employer (Adult #2)Education/School (Adult #2)Email (Adult #2)* Work Phone (Adult #2)Cell Phone (Adult #2)Do you have children in your household you want to register?*YesNoChild(ren) RegistrationPlease provide the following information for each child: * Full Name (First, Middle, Last) * Nickname * Date of Birth * Religion * School Currently Attending