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General Information
Mailing Name
First Name*
Last Name*
Date of Birth*
Street Address*
City*
State*
Zip*
Phone
Emergency Phone
Occupation
Are you currently registered at another parish in the Archdiocese of Denver?
Name of Parish
Permission to Publish
Please mark each box if you would like us to publish your phone, address, and/or email in the Parish Directory (this will not be shared outside the Parish).
- Publish Phone
- Publish Address
- Publish Email
Can we add you to the email list so you receive parish emails?*
Choose yes to be added to our email blasts. We email about twice month.
- Yes, I would like to receive emails about parish activities.
- No, I prefer not to receive emails from St Dom's parish.
Primary Language
Family Information
Maritial Status
Married by Priest or Deacon?
Date of Marriage*
Adult #1*
Date of Birth mm/dd/yyyy*
Sex
Religion
Cell Phone
Email
Occupation
Employer
Work Phone
Sacraments Received
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
Adult #2
Date of Birth mm/dd/yyyy
Sex
Religion
Cell Phone
Email
Occupation
Employer
Work Phone
Sacraments Received
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
Children Information
Do you have any children?
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
First Name
Last Name
Date of Birth mm/dd/yyyy
Sex
Check if Sacrament has been received:
- Baptism
- Eucharist
- Reconciliation (Confession)
- Confirmation
- RCIA
Additional
Is there anything else we need to know about your family?
I have talents in or I'm interested in hearing more about...
- Joining the Catholic Church
- Bible study or Adult faith formation
- Opportunities for prayer
- Young Adults or Youth Group
- Religious Education for kids
- Service to the poor and needy
- Helping with liturgies
- Music Ministry
- Event organizing/volunteering
- Fair Trade and justice issues
- Community organizing
- Marketing/publicity
- Other
Other interests are...

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To join by text, text DOMDENVER to 84576
Para registrarse por texto, envíe el mensaje DOMDENVER al 202-765-3441

Church:
2905 Federal Blvd, Denver, CO 80211
Parish Center:
3005 West 29th Avenue, Denver, CO 80211
303.455.3613

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