New Member Registration Step 1 of 9 11% First Adult in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleRelationship Status*Sole AdultMarried/SpouseDivorcedSeparatedWidowedMaiden Name*Home PhoneCell Phone*OccupationEmail address you would like to use for Parish communications* Address* Street Address Address Line 2 City ILAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code There are many ways to contribute to St. Raymond Parish. Please select the method(s) you are interested in:* Automated/Electronic giving Credit/Direct bank debit donation Envelopes for weekly contributions Envelopes for monthly contributions I'm not sure yet, I'd like to speak to the office. 2nd Adult in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Maiden Name*Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleOccupationCell PhoneEmail address you would like to use for Parish communications Are their children in the household?*YesNoHow many children do you have?Please Select1 Child2 Children3 Children4 Children5 ChildrenI would like information on St. Raymond Day School?*YesNoI would like information on St. Raymond Religious Education?*YesNo Child 1 Info1st Child in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleChild Attends:St. RaymondSt. ViatorsDistrict 57District 214HomeschooledOther School in the areaNot in school Child 2 Info2nd Child in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleChild Attends:St. RaymondSt. ViatorsDistrict 57District 214HomeschooledOther School in the areaNot in school Child 3 Info3rd Child in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleChild Attends:St. RaymondSt. ViatorsDistrict 57District 214HomeschooledOther School in the areaNot in school Child 4 Info4th Child in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleChild Attends:St. RaymondSt. ViatorsDistrict 57District 214HomeschooledOther School in the areaNot in school Child 5 Info5th Child in the household* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Nickname (if any)Religion*Language SpokenBirthdate* Date Format: MM slash DD slash YYYY Gender*MaleFemaleChild Attends:St. RaymondSt. ViatorsDistrict 57District 214HomeschooledOther School in the areaNot in school Any questions or comments you want to share immediately? Is there something specific you'd like to be contacted about?Give Central is our online giving partner. Once you submit, we will redirect you to complete your registration.Thank you for choosing St. Raymond. We are excited to meet you. We will contact you very soon. Look around our page to see what we are up to TODAY! Upcoming events on right here on the right. This iframe contains the logic required to handle Ajax powered Gravity Forms.
