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 Language Other Language Religion Religion Employer Employer Occupation Occupation Work PhoneWork PhoneSacraments Received Baptism First Communion Confirmation Marriage Sacraments Received Baptism First Communion Confirmation Marriage If Married, Church, Location, Date of Marriage If Married, Church, Location, Date of Marriage Marital 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 Parish ChildrenChild's Name (1) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year Child's Name (2) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year Child's Name (3) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year Child's Name (4) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year Child's Name (5) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year Child's Name (6) First Middle Last Goes By Date of Birth Month Day Year Gender Male Female Other Language Religion Sacraments Received Select All Baptism First Communion/First Reconciliation Confirmation School/College Grade/Year
