Parish Registration Form

Order Number

Which Parish are you joining? *

Moscow

Genesee

Family Name *

Home Address *

City, State, Zip *

Different Mailing Address?

Yes

No

Home Phone Number

Heads of Household *

Married

Separated

Divorced

Widowed

Single

Number of Adults in Family *

One Two

Adult One Name *

Adult 1 Date of Birth *

Adult 1 Gender *

Male

Female

Adult 1 Workplace/School Attending *

Adult 1 Cell Phone

Adult 1 Email

Adult 1: Catholic? *

Yes

No

Number of Children in Family *

None 1 2 3 4 5 6+

Comments

We would love to hear from you!

Mailing Address: PO Box 9106 Moscow, ID 83843
Office Phone: 208-882-4813
Email: office.smpm@gmail.com

Visit Us: 618 E. First St. Moscow, ID 83843

If you have a specific prayer intention
our Email Prayer Tree will pray for your intentions.

If this is your first time here or you are visiting our parish,
please take a look at our Visitors and Newcomers page.