Saint Rose Philippine Duchesne · Anthem, Arizona

Family Registration

Welcome to Saint Rose! Complete the form below to register your family with the parish. Our staff will follow up to finish setting up your record.

Fields marked * are required. Everything else is optional but helps us serve your family better.

Family Information

Family Last Name *

Main Contact Phone *

Would you like offertory envelopes mailed to you?

Home Address

Zip

City

State

Other Phone Numbers

Optional — add any additional numbers we should have on file.

Head of House

Title

Full Name *

Birthdate

Marital Status

Date of Marriage

Married by a Priest?

Occupation

Email

Baptized?

First Eucharist?

Confirmed?

Spouse / Other Adult

Leave blank if not applicable.

Title

Full Name

Birthdate

Occupation

Email

Baptized?

First Eucharist?

Confirmed?

Children (living at home)

Additional Information

Anything else we should know?

Saint Rose Parish staff will review your registration and follow up if anything's missing.

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Welcome to Saint Rose!

Thank you for registering your family. Our parish staff will review your registration and be in touch if we need anything further.