Click Submit Form to send this information to Our Lady of the Valley.

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*Registration Option Register a New Family Update an Existing Family *ID/Env:  
  Call Our Lady of the Valley at (602) 993-1213, if you do not know your ID Number or Envelope Number.
Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender
Grade/Degree   Religion   Language Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   FirstComm
   Marriage
Remarks (Place)    
Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date Gender
Grade/Degree   Religion   Language Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   First Comm
   Marriage
Remarks (Place)    
Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP
Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks
Member 1   Type  
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date Gender
Grade/Degree   Religion   Language Marital Status
  Occupation
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
  Email 2   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date
   Baptism
   Confirm
   First Comm
   Marriage
Remarks    

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