| Holy Cross | Portland, OR

For Family For Parents

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pARISHIONER INFORMATION FORM
- Please fill out one per household.
  
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  ADULT #1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  CELL PHONE: REQUIRED Please fill out this field. Please enter valid data.
  
  HOME PHONE: Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  ADULT #2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  CELL PHONE: Please enter valid data.
  
  Email Please enter an email address.
  
  Receive Electronic Parish Updates? REQUIRED Yes No Please fill out this field.
  
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