Online Membership

Submit/Change Household Biographical Information

Check All That Apply New to the Parish
Change in Biographical Information
Please check if you would Parish donation envelopes

(Enter Full Names Including Maiden)

Full Name

Gender

Religion

Spouse (If Applacable)

Gender

Religion

Marital Status

Children (minor/dependent):

1. Name

Gender

Grade

2. Name

Gender

Grade

3. Name

Gender

Grade

4. Name

Gender

Grade

5. Name

Gender

Grade

Employer

Employer Phone

Spouse Employer

Employer Phone

If STUDENT, please ALSO complete the following:

Schoool

Grade

Major(s)

Expected Graduation Date

Father

Father's Phone

Father's Complete Adress

Father UOW Alumni?

Mother

Mother's Phone

Mother UOW Alumni?

Mother's Complete Address

Please complete the following sacramental information for EACH member of the household.

1.

2.

3.

4.

5.

6.

7.

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1800 East Grand Avenue • Laramie, Wyoming 82070 4316 • 307.745.5461 •

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