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Home
Find It!
Coronavirus
Online Streaming
FORMED
About Us
Welcome | Contact Us
Parish Registration
Calendar
St. Hilary Bulletins
St. Anthony Bulletins
Pastoral & Finance Councils
History
Photo Albums
Online Collections
Online Collections
Prayer
Mass & Confession Times
Mass Request Form
Funerals
E:SIX Men's Mass
Adoration Chapel
Divine Mercy Chaplet
Sacraments
Sacraments
RCIA
Ministries
Youth Formation
CCD
Confirmation
Youth Group
Vacation Bible School
Liturgy
Liturgical Ministry
Music Ministry
Service Groups
Knights of Columbus
Council of Catholic Women
Home Bound Visitation
Grief to Grace
Mat Ministry
Adult Formation
Small Groups
Bible Studies
Men's Fellowship
Parish Registration
About Us
Welcome | Contact Us
Parish Registration
Calendar
St. Hilary Bulletins
St. Anthony Bulletins
Pastoral & Finance Councils
History
Photo Albums
The maximum number of form submissions has been reached. This form is currently not available.
Welcome! We are so glad that you are interested in registering as a parishioner of either Saint Hilary of Poitiers or Saint Anthony of Padua! Please fill out the form below as thoroughly as possible and we will be in contact with you as soon as possible to help you feel welcomed into our parish. After you complete the form, we invite you to take a look at some of our ministries to see if the Lord is calling you to serve in a particular way!
New Parishioner Registration For:
REQUIRED
Saint Hilary of Poitiers | Raceland, LA
Saint Anthony of Padua | Gheens, LA
Please fill out this field.
Head of Household Information
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
REQUIRED
Please fill out this field.
Please enter valid data.
Suffix
REQUIRED
(Select One)
None
Senior
Junior
III
IV
V
Please fill out this field.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
Birthplace (City, State)
REQUIRED
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Please enter valid data.
Religion
REQUIRED
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Please enter valid data.
Preferred Language
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Please enter valid data.
Email
REQUIRED
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Please enter an email address.
Phone Number
REQUIRED
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Please enter a phone number.
Street Address
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Please enter valid data.
City
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State
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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
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WI
WV
WY
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Zip
REQUIRED
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Please enter a zip code.
Mailing Address (if different from address above)
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City
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State
None
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
Zip
Please enter a zip code.
Ethnicity
REQUIRED
(Select One)
Caucasian
Black
Hispanic
Asian
Native American
Other
Please fill out this field.
Marital Status
REQUIRED
(Select One)
Single (Unmarried)
Married
Separated
Divorced
Annulled
Widowed
Consecrated
Please fill out this field.
Mass Attendance
REQUIRED
(Select One)
Weekly
Monthly
Sometimes
Never
Homebound
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Sacraments Received
REQUIRED
Baptism
First Communion
Confirmation
Matrimony
None
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Spouse's Information
First Name
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Last Name
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Middle Name
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Maiden Name
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Birth Date
Please enter a date.
Birthplace (City, State)
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Religion
Please enter valid data.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Mass Attendance
None
Weekly
Monthly
Sometimes
Never
Homebound
Sacraments Received
Baptism
First Communion
Confirmation
None
Additional Family Members
Additional Members of the Household
REQUIRED
Please enumerate how many other individuals live in your household (children, parents, etc.)
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Household Member 1
First Name
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Last Name
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Middle Name
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Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 2
First Name
Please enter valid data.
Last Name
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Middle Name
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Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 3
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 4
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 5
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 6
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 7
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 8
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 9
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Household Member 10
First Name
Please enter valid data.
Last Name
Please enter valid data.
Middle Name
Please enter valid data.
Suffix
None
None
Senior
Junior
III
IV
V
Birth Date
Please enter a date.
Ethnicity
None
Caucasian
Black
Hispanic
Asian
Native American
Other
Gender
None
Male
Female
Sacraments Received
Baptism
First Communion
Confirmation
None
Name of School & Grade (if applicable)
Please enter valid data.
Relationship to Household
Please enter valid data.
Additional Information
Is there a homebound resident of your household who would like to receive Holy Communion?
None
Yes
No
Do you currently receive a copy of the Bayou Catholic?
None
Yes
No, but I would like to.
No, and I do not want to.
Are you presently using Parish Support Envelopes?
None
Yes
No, but I would like to receive them.
No, and I do not want to receive them.
What would you like to see Saint Hilary/Saint Anthony offer to help you pray and serve?
Additional Needs or Notes
Submit
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