Join the Parish!

The maximum number of form submissions has been reached. This form is currently not available.

Family Name (Last): REQUIRED Please fill out this field. Please enter valid data.
Mailing 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.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Phone Number Maximum 20 characters Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Email Please enter an email address.
Adult #1 Full Legal Name REQUIRED Please fill out this field. Please enter valid data.
Adult #1 Date of Birth REQUIRED Please fill out this field. Please enter a date.
Adult #1 Religious Denomination REQUIRED Please fill out this field. Please enter valid data.
Adult #1 Sacraments Completed REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
Adult #2 Full Legal Name Please enter valid data.
Adult #2 Date of Birth Please enter a date.
Adult #2 Religious Denomination Please enter valid data.
Adult #2 Sacraments Completed Baptism First Holy Communion Confirmation None
Please list name and date of birth of dependent children
Would you like info on any of the following? Homebound Ministry Infant Baptism Preparation Children Ministry (Preschool-5th Grade Youth Ministry (6th-12th Grade) Adult Small Groups First Holy Communion (2+ grade) Youth Confirmation (7+ Grade) RCIA: Becoming Catholic (Adult Baptism) Adult Confirmation

Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Immaculate Conception
Our Lady of Perpetual Help

Catholic Communities of North Everett
425-349-7014

Join the Parish!

Parish Registration