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Registration PDF
Or Please complete the Online form below and submit to the office
Parish Registration Form
Type of Registration
New Parishioner Registration
Current Parishioner Update
Family Surname
Date
Street Address
City
State
Zip
Do you live in the area year round or seasonally?
Year Round
Seasonally
May we share your personal information with our Parish Ministries?
Yes
No
Preferred Language
English
Spanish
1st Head of Household - Marital Status
Single
Married
Separated
Divorced
Widowed
1st Head of Household - First Name
1st Head of Household - Last Name
1st Head of Household - Primary Phone Number
1st Head of Household - Additional Phone Number
1st Head of Household - Email Address
Receive Parish Emails?
Yes
No
1st Head of Household - Date of Birth
1st Head of Household - Occupation
1st Head of Household - Sacraments Completed
Baptism
1st Communion
Confirmation
1st Head of Household - Church of Baptism
City
State
Additional Notes (If Applicable)
2nd Head of Household - Marital Status
Single
Married
Separated
Divorced
Widowed
2nd Head of Household - First Name
2nd Head of Household - Last Name
2nd Head of Household - Primary Phone Number
2nd Head of Household - Additional Phone Number
2nd Head of Household - Email Address
Receive Parish Emails?
Yes
No
2nd Head of Household - Date of Birth
2nd Head of Household - Occupation
2nd Head of Household - Sacraments Completed
Baptism
First Communion
Confirmation
2nd Head of Household - Church of Baptism
City
State
Additional Notes (If Applicable)
3rd Household Member - First Name
3rd Household Member - Last Name
3rd Household Member - Date of Birth
3rd Household Member - Occupation
3rd Household Member - Sacraments Completed
Baptism
1st Communion
Confirmation
3rd Household Member - Church of Baptism
City
State
Additional Notes (If Applicable)
4th Household Member - First Name
4th Household Member - Last Name
4th Household Member - Date of Birth
4th Household Member - Occupation
4th Household Member - Sacraments Completed
Baptism
1st Communion
Confirmation
4th Household Member - Church of Baptism
City
State
Additional Notes (If Applicable)
5th Household Member - First Name
5th Household Member - Last Name
5th Household Member - Date of Birth
5th Household Member - Occupation
5th Household Member - Sacraments Completed
Baptism
1st Communion
Confirmation
5th Household Member - Church of Baptism
City
State
Additional Notes (If Applicable)
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Contact Information
1803 Duhon Road
Duson, LA 70529
(337) 984-2179
office@stbasiljudice.org
Office Closed On Mondays
Office Hours: Tues.-Fri: 8:00-12:00
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