6020 Old Antonia Road, Imperial Missouri 63052 |
636-464-1013
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Update my Information
Does our Church database have YOUR family membership record correct? Maybe you no longer have your home phone?
Here is your chance to update YOUR record for our annual Guide Book & Directory (if you haven’t already done so).
Have you changed your phone number?
Have you moved?
Are you preparing to move soon?
Are all of your children still at
home and are they all included in your membership record?
Do you want your record published?
Fill out this form to inform the parish of changes to your contact information
Family Information
Help us identify you
Head of Household
First Name*
Last Name*
E-mail
Required*
Update Household Members
New Household Members
List anyone that moved into the house, and their relationship to the head of household; ex. spouse, son, step-granddaughter, etc.
Remove Household Members
List the names of any people that moved out of your household. For example adult children who moved out.
Sacramental Special Cases
Have a priest contact me about having my marriage validated, blessed, by the church.
Have a priest contact me with more information about annulments
Contact me with more information about getting children baptized
Have a priest contact me about another question
Address
Moving to a new address?
I am not moving, or planning on moving soon
I am moving/have moved and want to stay in the parish
I am moving/have moved and intend to register in a new parish
New Address
Street 1
Street 2
City
State
-- select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
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Indiana
Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
None--International
Zip
Move Date
Month
January
February
March
April
May
June
July
August
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October
November
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/
Day
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/
If you are moving in the near future, give the date we should update your address.
Contact Information
Home Phone
We no longer have a home phone number, please list husband's cell phone in directory
We no longer have a home phone number, please list wifes's cell phone in directory
We no longer have a home phone number, please do not list our family in the directory
New Phone Number
-
-
--select--
Home
Mobile
Work
Phone Number Details
This is a new number
This replaces my previous number
This is our main household phone number
Directory
Do NOT list our family in the parish directory
Any other notes or comments?
It may take a moment for your information to be submitted.
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