Become a Member of Saint Benedict Cathedral Parish 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)* 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 MM slash DD slash YYYY Add Second Adult*Check the box below to add informaton for a second adult. Add Adult Adult #2* First Last Nickname (Adult #2) Date of Birth (Adult #2)* 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?* Yes No Child(ren) RegistrationPlease provide the following information for each child: * Full Name (First, Middle, Last) * Nickname * Date of Birth * Religion * School Currently AttendingFamily PhotoPlease upload a family photo so that we can update our parish photo directory.Accepted file types: jpg, png, heic, jpeg, Max. file size: 10 MB.
