Welcome to St. Patrick-St. Anthony Parish in beautiful Grand Haven, MI–we’re glad you’re here. To become a parishioner, please submit a registration form below. Parish Registration Form Family InformationLast Name*Heads of HouseholdName* Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Middle Last Goes by: Name Dr.MissMr.Mrs.Ms.Prof.Rev. Title First Middle Last Goes By Phone*PhonePhonePhoneEmail* Email Would you like to receive our weekly parish eBlast?* Yes No Date of Birth* Month Day Year Date of Birth Month Day Year Other LanguageOther LanguageReligion*ReligionEmployerEmployerOccupationOccupationWork PhoneWork PhoneSacraments Received* Baptism First Communion Confirmation Marriage Sacraments Received Baptism First Communion Confirmation Marriage If Married, Church, Location, Date of MarriageIf Married, Church, Location, Date of MarriageMarital Status* Single Married Separated Divorced Widowed Marital Status Single Married Separated Divorced Widowed Local Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Seasonal Address (if applicable) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Previous ParishChildrenChild's Name (1) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/YearChild's Name (2) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/YearChild's Name (3) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/YearChild's Name (4) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/YearChild's Name (5) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/YearChild's Name (6) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other LanguageReligionSacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/CollegeGrade/Year Δ
