Parish Registration Intent Form

Become A Part of the Community.

Please fill out the Parish Registration Intent Form to begin your registration process. After completing the form, a member of our Pastoral Team will contact you to finish your registration and see how our parish can serve you. 

Contact Information
Address *
Address
Phone
Phone
Cell Phone
Cell Phone
General Information
-ex- Mr and Mrs. John and Mary Smith
Household Member Information
Only fill out areas that pertain to the number of people in your household and then skip to the bottom.
ADULT I
Add Last Name if Different From Family Name
Date of Birth
Date of Birth
Adult II
Add Last Name if Different From Family Name
Date of Birth
Date of Birth
Child I
Under 25 Years of Age
Add Last Name if Different From Family Name
Date of Birth
Date of Birth
Child II
Under 25 Years of Age
Add Last Name if Different From Family Name.
Date of Birth
Date of Birth
Child III
Under 25 Years of Age
Add Last Name if Different From Family Name
Date of Birth
Date of Birth
Child IV
Under 25 Years of Age
Add Last Name if Different From Family Name
Date of Birth
Date of Birth

24250 Dixie Highway
Perrysburg, OH 43551

OFFICE: (419)874-6502
FAX: 419.874.6537