St. Columbkille Church/Holy Name Chapel

New to the Parish?

- About Us

Online Registration Form

We bid a hearty welcome to all new parishioners and visitors!
Registration forms are in the vestibule of the church,
or you can register at the rectory Monday through Friday.
Hours are: 9:00 AM - 3:00 PM
You may also download the registration form by clicking here.
The maximum number of form submissions has been reached. This form is currently not available.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED 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.
- Main Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Alternate Phone Number Please enter a phone number.
- Main Email REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact Name Please enter valid data.
- Emergency Contact Phone Number Please enter a phone number.
- Head of Household
  
  First, Middle, and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  If Applicable: Maiden Name Please enter valid data.
  
  Salutation REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Number Please enter a phone number.
  
  Religion Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Baptized Catholic REQUIRED Yes No Please fill out this field.
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
  
  Occupation Please enter valid data.
  
  Spouse First, Middle, and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  If Applicable: Maiden Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Email Please enter an email address.
  
  Cell Phone Number Please enter a phone number.
  
  Religion Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  Baptized Catholic REQUIRED Yes No Please fill out this field.
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
  
  Occupation Please enter valid data.
- Child/Other Member
  
  First, Middle, and Last Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Religion Please enter valid data.
  
  Sacraments Baptism First Penance First Communion Confirmation Marriage
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
- Child/Other Member
  
  First, Middle, and Last Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Religion Please enter valid data.
  
  Sacraments Baptism First Penance First Communion Confirmation Marriage
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
- Child/Other Member
  
  First, Middle, and Last Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Religion Please enter valid data.
  
  Sacraments Baptism First Penance First Communion Confirmation Marriage
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
- Child/Other Member
  
  First, Middle, and Last Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Religion Please enter valid data.
  
  Sacraments Baptism First Penance First Communion Confirmation Marriage
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
- Child/Other Member
  
  First, Middle, and Last Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gendar REQUIRED Male Female Please fill out this field.
  
  Religion Please enter valid data.
  
  Sacraments Baptism First Penance First Communion Confirmation Marriage
  
  Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
Submit

New to the Parish?

Online Registration Form