• Hello!

  Welcome to St. Columbkille Catholic Church
  Holy Name Chapel Parish
   

  Four different options are available for you to register and become an active participating member of  St. Columbkille Parish:
  
  (1) Complete the online registration below.  Weekly contribution envelopes are mailed to your home on a bi-monthly basis.  If you wish to make a donation prior to receving your envelopes, please feel free to put a check in the collection basket or take advantage of our Online Giving Option.
  
  (2 ) Registration forms are in the vestibule of the church,
  
  (3) Stop by the parish rectory office - which is located on the corner of N. Mulberry St and W. Locust St.
  Office hours are Monday through Friday - 9:00 AM - 3:00 PM
  
  (4) 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 AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Main Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Alternate Phone Number Maximum 20 characters 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 Maximum 20 characters Please enter a phone number.
  • Head of Household
    • First, Middle, and Last Name Please enter valid data.
    • If Applicable: Maiden Name Please enter valid data.
    • Salutation REQUIRED (Select One) Mr. Mrs. Ms. Miss Mr. & Mrs. Dr. & Mrs. Mr. & Dr. Dr. & Dr. Please fill out this field.
    • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
    • Gender REQUIRED Male Female Please fill out this field.
    • Email Please enter an email address.
    • Cell Phone Number Maximum 20 characters Please enter a phone number.
    • Religion Please enter valid data.
    • Marital Status REQUIRED (Select One) Married Single Widowed Divorced Please fill out this field.
    • Baptized Catholic REQUIRED Yes No Please fill out this field.
    • Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
    • Spouse First, Middle, and Last Name Please enter valid data.
    • If Applicable: Maiden Name Please enter valid data.
    • Date of Birth Please enter valid data.
    • Gender REQUIRED Male Female Please fill out this field.
    • Email Please enter an email address.
    • Cell Phone Number Maximum 20 characters Please enter a phone number.
    • Religion Please enter valid data.
    • Marital Status REQUIRED (Select One) Married Single Widowed Divorced None Please fill out this field.
    • Baptized Catholic REQUIRED Yes No Please fill out this field.
    • Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage
  • Child/Other Member
    • First, Middle, and Last Name Please enter valid data.
    • Date of Birth Please enter valid data.
    • Gender Male Female
    • 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 Please enter valid data.
    • Gender Male Female
    • 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 Please enter valid data.
    • Gender Male Female
    • 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 Please enter valid data.
    • Gender 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 Please enter valid data.
    • Gender Male Female
    • Religion Please enter valid data.
    • Sacraments Baptism First Penance First Communion Confirmation Marriage
    • Sacramental Details-Baptism, 1st Communion, Confirmation, Marriage

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