Parish Registration

Welcome to St. Patrick Catholic Parish and Shrine church community!

 We look forward to growing together as a parish family. In the meantime, please look
 through the information and resources available on our parish website at
 www.stpatrickchurch.us or parish APP, which you may download at: get.theapp.co/ac96.
 If you have any questions, please feel free to contact the parish office at: (859) 356-5151 or
 email: stpatsemail@fuse.net for more information. Don't forget to include your text carrier
 and number so we can communicate better.
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Click Submit Form to send this information to St. Patrick Church.
*Required fields
*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
  Email 4 Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism Date Place
  Reconcil Date Place
  1st Comm Date Place
  Confirm Date Place
  Marriage Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
Talents
  Talent 1 Interested in Joining
  Talent 2 Interested in Joining
Remarks

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
  Email 4 Unlisted
Send Email Instead of Mail When Possible
Sacraments
  Baptism Received Date Place
  Reconcil Received Date Place
  1st Comm Received Date Place
  Confirm Received Date Place
  Marriage Received Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
Talents
  Talent 1 Interested in Joining
  Talent 2 Interested in Joining
Remarks

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Alternate Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks

  Member 1 Type
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Phone 3 ( ) - Unlisted
  Phone 4 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
  Email 3 Unlisted
Send Email Instead of Mail When Possible
  Email 4 Unlisted
Send Email Instead of Mail When Possible
Sacraments
* Baptism Date Place
   Reconcil Date Place
   1st Comm Date Place
   Confirm Date Place
   Marriage Date Place
Ministries
  Ministry 1 Interested in Joining
  Ministry 2 Interested in Joining
Talents
  Talent 1 Interested in Joining
  Talent 2 Interested in Joining
Remarks


Click Submit Form to send this information to St. Patrick Church.
St. Patrick Church