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Parishioner Registration

- We welcome all new members to our St. Sebastian Parish. Please stop by the Church Office to register or fill out the form on this page. When moving out of the Parish or updating your parish information, please notify the Church Office.
  Thank you.
- This form is not accepting responses at this time.
  
  Parish Registration
  
  First Name Please enter valid data.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse (First Name) Please enter valid data.
  
  Basic Information
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Address 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.
  
  Direct Mail Envelopes for Offerings REQUIRED
  Please indicate whether you would like to receive Direct Mail Envelopes for your weekly offering
  Please fill out this field.
  
  Additional Information
  
  Number of Children Please fill out this field.
  
  Child 1
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 2
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 3
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 4
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 5
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 6
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 7
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 8
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 9
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 10
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 11
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 12
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 13
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 14
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 15
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 16
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 17
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 18
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 19
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Child 20
  
  Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Register
  
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St. Sebastian Church

Santa Paula, CA

Parishioner Registration