Welcome to our Parish, St. John the Evangelist R.C Church in Center Moriches. Visit our
 web site at www.SJEcm.org for more information.

Click Submit Form to send this information to St. John The Evangelist Church.

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*Required fields

*Registration Option Register a New Family Update an Existing Family *ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
Maiden Name
*Birth Date *Gender Female   Male
*Occupation *Language *Marital Status
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Phone 1 ( ) - Unlisted
*Email 1   Unlisted
Sacraments   Name Received Date Place
* Baptism
   1st Comm
   Confirm
   Marriage

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name Maiden Name
  Birth Date   Gender Female   Male
  Occupation   Language Marital Status
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   1st Comm
   Confirm
   Marriage

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Mailing Address
  Line 1
  Line 2
  City
  State
  ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication,
select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
Email
*Email   Unlisted
Send Email Instead of Mail When Possible

Member 1
*Type  
  First Name   Last Name Suffix
Relationship   Middle Name
  Birth Date   Gender Female   Male
Grade/Degree   Occupation   Language
Sacraments   Name Received Date Place
   Baptism