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Parishioner Update Form

- NEW TO SSJ?

The maximum number of form submissions has been reached. This form is currently not available.
- Have you updated your contact information since you registered in the Parish? Have you changed email or phone or moved? The parish needs to update census information. Please help us stay in touch. Your information is kept confidential and is only for parish pastoral use. We need your assistance to record accurate information. Would you kindly complete and submit the form below so that we can update our records? If you have added a family member, be sure and let us know his/her full name, gender, and date of birth. You can submit this form or email your information to [email protected] or place a paper copy in the offering basket at Mass.
  
  The parish staff greatly appreciates your taking a few minutes of your time to update your information. Please contact the parish office at 610-696-3624 or [email protected] if there is anything the parish can assist you with. May God Bless you always!
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. 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.
- Preferred Phone # REQUIRED Please fill out this field. Please enter valid data.
- Phone #2 Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Comments REQUIRED Please fill out this field.
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