Welcome to Epiphany Cathedral Parish! Please fill out this form to start your registration at our parish. "*" indicates required fields Date* MM slash DD slash YYYY Parishioner #1*First NameMiddle NameLast NameSuffixGenderDate of BirthAre you CatholicPlease indicate Married, Single, Widowed, Separated or DivorcedParishioner #2First NameMiddle NameLast NameSuffixGenderDate of BirthAre you CatholicPlease indicate Married, Single, Widowed, Separated, or DivorcedDo you have children living at home*NoYesChild/Children*If more than one child, please click “+” to add additional namesFirst NameMiddle NameLast NameGenderDate of BirthAre you Catholic Add RemoveDo you have other Adults living with you*NoYesAdult(s)If more than one Adult, please click “+” to add additional names First NameMiddle NameLast NameGenderDate of BirthAre you Catholic Add RemoveOffertory Contributions* Please send offertory envelopes Online Giving (do not send envelopes) Undecided/Other Florida Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a full time Florida Resident*YesNoThird ChoiceApproximate dates you are at your Florida residence*FromTo Add Remove(i.e.: November to May)Other Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone NumberCell Phone Number*Main Email Address* Additional Email CAPTCHACommentsThis field is for validation purposes and should be left unchanged.