Online Registration Form

To input the Birthday field below, first click on the month / year field at the top of the pop-up window, then click on the year field, then navigate with the left and right buttons to the correct decade, finally select the birth year. The months of the year will appear and select your birth month. Finally the days of the month appear and select your birth date. Unfortunately, you cannot enter the birthday information via the keyboard.

After completing all the information below, please hit the “Submit” button at the bottom of the page. This will take you to a new webpage with a “Happy Face” indicating you have entered all the required information.


Adults first, then children living at home Gender Birthday   Sacraments
M F Month / Date / Year Religion Baptism 1st Eucharist Confirmation Did you receive any of these
sacraments at Sts. Simon & Jude?
Yes No Yes No Yes No Yes No

Please let us know how we can assist you in getting established in our faith community. We encourage you to take a look at the various ministries available to you and let us know what time, talents and/or treasure you have to share.

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