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Register

Welcome!

We are pleased to welcome newcomers to St. Rose of Lima Parish. If you would like to become a parishioner, please register so we can get to know you. Simply fill out and submit the form below to start the process of becoming a member of our parish.
Online Registration
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Please list any additional family members:
Submit

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SAINT ROSE OF LIMA