Register as a Parishioner - The Church of St. Francis Xavier

We encourage you to fill out this form, whether you participate in the Xavier community, regularly or occasionally. Let us know how you would like correspondence to be addressed to your household.

ALL INFORMATION WILL BE HELD CONFIDENTIAL

Name*
Please enter your full, birth name.
First Last
Email Address*
Address*
Please include Apartment/Unit number where applicable.

Street Address Address Line 2 City State ZIP Code
Home/Main Phone*
Work Phone
Cell Phone
Registration*
- New Registration
- Re-Registering
How long have you been attending Xavier?*
Marital Status
Please give name, relationship, age of children, sacraments received in your household:
Ministries at Xavier I am interested in:
Please list any medical problems, physical disabilities of which we should be aware: