Parish Registration

- About

We welcome with joy all new members of the community and invite you to register with the rectory, either by the form below, by phone, or by mailing one of the forms provided at the church entrance.
The maximum number of form submissions has been reached. This form is currently not available.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
- Zip REQUIRED Please fill out this field. Please enter an integer (number).
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Email Please enter an email address.
- Head of Household
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation Holy Matrimony
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
- Spouse [if any]
  
  Name Please enter valid data.
  
  Date of Birth Please enter valid data.
  
  Religion Please enter valid data.
  
  Marital Status
  
  Sacraments Received
  Select Highest Level
  Baptism First Communion Confirmation Holy Matrimony
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Occupation Please enter valid data.
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 4
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 5
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 6
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 7
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 8
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 9
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 10
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 11
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 12
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 13
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 14
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 15
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 16
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 17
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 18
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 19
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
  
  Child 20
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Gender Male Female
  
  Religion Please enter valid data.
  
  Sacraments Received Baptism First Communion Confirmation
  
  Church of Baptism Please enter valid data.
  
  City of Baptism Please enter valid data.
  
  State of Baptism
- Offertory Envelopes REQUIRED Please fill out this field.
Submit

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St. Roch Catholic Church

Serving Mentz, Texas Since 1858

Parish Registration