Parish Registration

- About

- PRINTABLE REGISTRATION FORM [ click HERE to PRINT FORM ]
Welcome to St. Paul and St. Ann’s Parish. Above, you will find a link to a PRINTABLE REGISTRATION FORM. Please print and fill out the form and send completed form to the rectory:
St. Paul and St. Ann's Parish
82 Lake Road
Congers, NY 10920
Or better yet, stop by and drop it off in person. We' would love to meet you! We are open from 9:00 am to 3:00 pm - Monday through Thursday.
Our phone number is 845-268-4464.
Another option to register is to complete the ONLINE REGISTRATION below.
ONLINE REGISTRATION
Please fill out the Online Registration below and press 'SUBMIT' after completion. A Parish rectory staff will process your registration and will reach out to you if additional information is needed. Thank you.
st paul & st ann's parish
ONLINE registration form
The maximum number of form submissions has been reached. This form is currently not available.
- A. PRIMARY REGISTRANT
  
  ENVELOPE NUMBER (OFFICE USE ONLY): Please enter an integer (number).
  
  Date REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  LAST NAME: REQUIRED Maximum 120 characters Please fill out this field. Please enter valid data.
  
  FIRST NAME: REQUIRED Maximum 50 characters Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH: REQUIRED
  MM/DD/YEAR
  Please fill out this field. Please enter a date.
  
  SEX: REQUIRED Please fill out this field.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Maximum 120 characters Please fill out this field. Please enter an email address.
  
  PRIMARY LANGUAGE: REQUIRED Please fill out this field. Please enter valid data.
  
  OCCUPATION: Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field.
  
  OTHER RELIGION Please enter valid data.
  
  SACRAMENTS RECEIVED: REQUIRED BAPTISM FIRST EUCHARIST RECONCILIATION CONFIRMATION Please fill out this field.
  
  MARITAL STATUS REQUIRED Please fill out this field.
  
  IF MARRIED REQUIRED Please fill out this field.
  
  DATE OF MARRIAGE Please enter a date.
- B. HOUSEHOLD INFORMATION
  
  STREET ADDRESS REQUIRED Maximum 240 characters Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  ETHNIC BACKGROUND REQUIRED Please fill out this field.
  
  PRIMARY LANGUAGE SPOKEN IN HOME: REQUIRED Please fill out this field. Please enter valid data.
  
  SECONDARY LANGUAGE Please enter valid data.
- C. OTHER HEAD OF HOUSEHOLD
  
  LAST NAME: Maximum 120 characters Please enter valid data.
  
  FIRST NAME: Maximum 50 characters Please enter valid data.
  
  DATE OF BIRTH:
  MM/DD/YEAR
  Please enter a date.
  
  SEX:
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  PRIMARY LANGUAGE: Please enter valid data.
  
  OCCUPATION: Please enter valid data.
  
  RELIGION
  
  OTHER RELIGION Please enter valid data.
  
  SACRAMENTS RECEIVED: BAPTISM FIRST EUCHARIST RECONCILIATION CONFIRMATION
  
  MAIDEN NAME (if applicable): Maximum 120 characters Please enter valid data.
- D. PLEASE CONTACT ME:
  
  Contact me for this specific purpose/s: Address and/or telephone number unlisted. I am interested in becoming more involved. I am interested in electronic fund transfer (EFT) as a means of making a donation. I would like a pastoral call. No Comments. Please process my parish registration.
  
  Additional Comments, Feedback or Requests:
- E1. ADDITIONAL / OTHER IN-HOUSE DEPENDENTS (Minors under 18 Years Old): Other residents are encouraged to register separately.
  
  LAST NAME: Maximum 120 characters Please enter valid data.
  
  FIRST NAME: Maximum 50 characters Please enter valid data.
  
  DATE OF BIRTH:
  MM/DD/YEAR
  Please enter a date.
  
  SEX:
  
  FATHER'S NAME: Please enter valid data.
  
  MOTHER'S NAME: Please enter valid data.
  
  RELATIONSHIP: Please enter valid data.
  
  SCHOOL AND GRADE: Please enter valid data.
  
  SACRAMENTS RECEIVED: BAPTISM FIRST EUCHARIST RECONCILIATION CONFIRMATION
  
  PARISH / CITY / DATE OF BAPTISM Maximum 240 characters Please enter valid data.
  
  PARISH / CITY / DATE OF FIRST EUCHARIST Maximum 240 characters Please enter valid data.
  
  PARISH / CITY / DATE OF RECONCILIATION Maximum 240 characters Please enter valid data.
  
  PARISH / CITY / DATE OF CONFIRMATION Maximum 240 characters Please enter valid data.
- E2. ADDITIONAL / OTHER IN-HOUSE DEPENDENTS (Minors under 18 Years Old): Other residents are encouraged to register separately.
  
  LAST NAME: Maximum 120 characters Please enter valid data.
  
  FIRST NAME: Maximum 50 characters Please enter valid data.
  
  DATE OF BIRTH:
  MM/DD/YEAR
  Please enter a date.
  
  SEX:
  
  FATHER'S NAME: Please enter valid data.
  
  MOTHER'S NAME: Please enter valid data.
  
  RELATIONSHIP: Please enter valid data.
  
  SCHOOL AND GRADE: Please enter valid data.
  
  SACRAMENTS RECEIVED: BAPTISM FIRST EUCHARIST RECONCILIATION CONFIRMATION
  
  PARISH / CITY / DATE OF BAPTISM Please enter valid data.
  
  PARISH / CITY / DATE OF FIRST EUCHARIST Please enter valid data.
  
  PARISH / CITY / DATE OF RECONCILIATION Please enter valid data.
  
  PARISH / CITY / DATE OF CONFIRMATION Please enter valid data.
- E3. ADDITIONAL / OTHER IN-HOUSE DEPENDENTS (Minors under 18 Years Old): Other residents are encouraged to register separately.
  
  LAST NAME: Maximum 120 characters Please enter valid data.
  
  FIRST NAME: Maximum 50 characters Please enter valid data.
  
  DATE OF BIRTH:
  MM/DD/YEAR
  Please enter a date.
  
  SEX:
  
  FATHER'S NAME: Please enter valid data.
  
  MOTHER'S NAME: Please enter valid data.
  
  RELATIONSHIP: Please enter valid data.
  
  SCHOOL AND GRADE: Please enter valid data.
  
  SACRAMENTS RECEIVED: BAPTISM FIRST EUCHARIST RECONCILIATION CONFIRMATION
  
  PARISH / CITY / DATE OF BAPTISM Please enter valid data.
  
  PARISH / CITY / DATE OF FIRST EUCHARIST Please enter valid data.
  
  PARISH / CITY / DATE OF RECONCILIATION Please enter valid data.
  
  PARISH / CITY / DATE OF CONFIRMATION Please enter valid data.
Submit

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