{"id":4204,"date":"2018-03-08T10:53:53","date_gmt":"2018-03-08T15:53:53","guid":{"rendered":"http:\/\/stgenevieve-stmaurice.org\/parish\/?page_id=4204"},"modified":"2023-03-07T10:37:31","modified_gmt":"2023-03-07T15:37:31","slug":"parish-registration","status":"publish","type":"page","link":"https:\/\/stgenevieve-stmaurice.org\/parish\/parish-registration\/","title":{"rendered":"Parish Registration"},"content":{"rendered":"<p><a href=\"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-content\/uploads\/2023\/03\/Parish-Registration.pdf\">Parish Registration<\/a><\/p>\n<p>Please take a few moments to register your family at our parish and become part of our Livonia Catholic community!<\/p>\n<p><span style=\"display: inline !important; float: none; background-color: transparent; color: #555555; font-family: -apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Oxygen-Sans,Ubuntu,Cantarell,'Helvetica Neue',sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: 400; letter-spacing: normal; line-height: 19.5px; orphans: 2; text-align: left; text-decoration: none; text-indent: 0px; text-transform: none; -webkit-text-stroke-width: 0px; white-space: normal; word-spacing: 0px; word-wrap: break-word;\"><div id=\"usermessage4a\" class=\"cf_info \"><\/div><form enctype=\"multipart\/form-data\" action=\"\/parish\/wp-json\/wp\/v2\/pages\/4204#usermessage4a\" method=\"post\" class=\"cform cformsdirect parish-registration \" id=\"cforms4form\"><fieldset class=\"cf-fs1\" style=\"\"><legend>Family Information<\/legend><ol class=\"cf-ol\"><li id=\"li-4-2\" class=\"\"><label id=\"label-4-2\" for=\"cf4_field_2\"><span>Family Last Name<\/span><\/label><input type=\"text\" name=\"cf4_field_2\" id=\"cf4_field_2\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-3\" class=\"\"><label id=\"label-4-3\" for=\"cf4_field_3\"><span>Family Email<\/span><\/label><input  type=\"email\" name=\"cf4_field_3\" id=\"cf4_field_3\" class=\" fldemail\" value=\"\" title=\"\"\/><span class=\"emailreqtxt\">(valid email required)<\/span><\/li><li id=\"li-4-4\" class=\"\"><label id=\"label-4-4\" for=\"cf4_field_4\"><span>Home Phone<\/span><\/label><input required=\"required\"  type=\"tel\" name=\"cf4_field_4\" id=\"cf4_field_4\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-5\" class=\"\"><label id=\"label-4-5\" for=\"cf4_field_5\"><span>Envelope Number<\/span><\/label><input  type=\"number\" name=\"cf4_field_5\" id=\"cf4_field_5\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-6\" class=\"\"><label id=\"label-4-6\" for=\"cf4_field_6\"><span>Mailing Name<\/span><\/label><input type=\"text\" name=\"cf4_field_6\" id=\"cf4_field_6\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-7\" class=\"\"><label id=\"label-4-7\" for=\"cf4_field_7\"><span>Emergency Phone<\/span><\/label><input required=\"required\"  type=\"tel\" name=\"cf4_field_7\" id=\"cf4_field_7\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-8\" class=\"\"><label id=\"label-4-8\" for=\"cf4_field_8\"><span>Address Line 1<\/span><\/label><input type=\"text\" name=\"cf4_field_8\" id=\"cf4_field_8\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-9\" class=\"\"><label id=\"label-4-9\" for=\"cf4_field_9\"><span>Address Line 2<\/span><\/label><input type=\"text\" name=\"cf4_field_9\" id=\"cf4_field_9\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-10\" class=\"\"><label id=\"label-4-10\" for=\"cf4_field_10\"><span>City<\/span><\/label><input type=\"text\" name=\"cf4_field_10\" id=\"cf4_field_10\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-11\" class=\"\"><label id=\"label-4-11\" for=\"cf4_field_11\"><span>State<\/span><\/label><select name=\"cf4_field_11\" id=\"cf4_field_11\" class=\"cformselect fldrequired\" title=\"\"><option value=\" \"> <\/option><option value=\"AL\">AL<\/option><option value=\"AK\">AK<\/option><option value=\"AZ\">AZ<\/option><option value=\"AR\">AR<\/option><option value=\"CA\">CA<\/option><option value=\"CO\">CO<\/option><option value=\"CT\">CT<\/option><option value=\"DE\">DE<\/option><option value=\"FL\">FL<\/option><option value=\"GA\">GA<\/option><option value=\"HI\">HI<\/option><option value=\"ID\">ID<\/option><option value=\"IL\">IL<\/option><option value=\"IN\">IN<\/option><option value=\"IA\">IA<\/option><option value=\"KS\">KS<\/option><option value=\"KY\">KY<\/option><option value=\"LA\">LA<\/option><option value=\"ME\">ME<\/option><option value=\"MD\">MD<\/option><option value=\"MA\">MA<\/option><option value=\"MI\">MI<\/option><option value=\"MN\">MN<\/option><option value=\"MS\">MS<\/option><option value=\"MO\">MO<\/option><option value=\"MT\">MT<\/option><option value=\"NE\">NE<\/option><option value=\"NV\">NV<\/option><option value=\"NH\">NH<\/option><option value=\"NJ\">NJ<\/option><option value=\"NM\">NM<\/option><option value=\"NY\">NY<\/option><option value=\"NC\">NC<\/option><option value=\"ND\">ND<\/option><option value=\"OH\">OH<\/option><option value=\"OK\">OK<\/option><option value=\"OR\">OR<\/option><option value=\"PA\">PA<\/option><option value=\"RI\">RI<\/option><option value=\"SC\">SC<\/option><option value=\"SD\">SD<\/option><option value=\"TN\">TN<\/option><option value=\"TX\">TX<\/option><option value=\"UT\">UT<\/option><option value=\"VT\">VT<\/option><option value=\"VA\">VA<\/option><option value=\"WA\">WA<\/option><option value=\"WV\">WV<\/option><option value=\"WI\">WI<\/option><option value=\"WY\">WY<\/option><\/select><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-12\" class=\"\"><label id=\"label-4-12\" for=\"cf4_field_12\"><span>Zip Code<\/span><\/label><input  type=\"number\" name=\"cf4_field_12\" id=\"cf4_field_12\" class=\"\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs2\" style=\"\"><legend>Family Member 1<\/legend><ol class=\"cf-ol\"><li id=\"li-4-14\" class=\"\"><label id=\"label-4-14\" for=\"cf4_field_14\"><span>First Name<\/span><\/label><input type=\"text\" name=\"cf4_field_14\" id=\"cf4_field_14\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-15\" class=\"\"><label id=\"label-4-15\" for=\"cf4_field_15\"><span>Role in Family<\/span><\/label><input type=\"text\" name=\"cf4_field_15\" id=\"cf4_field_15\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-16\" class=\"\"><label id=\"label-4-16\" for=\"cf4_field_16\"><span>Date of Birth<\/span><\/label><input required=\"required\"  type=\"date\" name=\"cf4_field_16\" id=\"cf4_field_16\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-17\" class=\"\"><label id=\"label-4-17\" for=\"cf4_field_17\"><span>Email<\/span><\/label><input required=\"required\"  type=\"email\" name=\"cf4_field_17\" id=\"cf4_field_17\" class=\" fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-18\" class=\"\"><label id=\"label-4-18\" for=\"cf4_field_18\"><span>Ethnicity<\/span><\/label><select name=\"cf4_field_18\" id=\"cf4_field_18\" class=\"cformselect fldrequired\" title=\"\"><option value=\" \"> <\/option><option value=\"Asian\">Asian<\/option><option value=\"Black\/African\">Black\/African<\/option><option value=\"Caucasion\">Caucasion<\/option><option value=\"Hispanic\/Latino\">Hispanic\/Latino<\/option><option value=\"Native American\">Native American<\/option><option value=\"Pacific Islander\">Pacific Islander<\/option><option value=\"Mixed Race\">Mixed Race<\/option><option value=\"Other\">Other<\/option><\/select><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-19\" class=\"\"><label id=\"label-4-19\" for=\"cf4_field_19\"><span>First Language<\/span><\/label><input type=\"text\" name=\"cf4_field_19\" id=\"cf4_field_19\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-20\" class=\"\"><label id=\"label-4-20\" for=\"cf4_field_20\"><span>Special Needs<\/span><\/label><input type=\"text\" name=\"cf4_field_20\" id=\"cf4_field_20\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-21\" class=\"\"><label id=\"label-4-21\" for=\"cf4_field_21\"><span>Status at Parish<\/span><\/label><select name=\"cf4_field_21\" id=\"cf4_field_21\" class=\"cformselect fldrequired\" title=\"\"><option value=\" \"> <\/option><option value=\"Active\">Active<\/option><option value=\"Inactive\">Inactive<\/option><\/select><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-22\" class=\"\"><label id=\"label-4-22\" for=\"cf4_field_22\"><span>Nick Name<\/span><\/label><input type=\"text\" name=\"cf4_field_22\" id=\"cf4_field_22\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-23\" class=\"\"><label id=\"label-4-23\" for=\"cf4_field_23\"><span>Gender<\/span><\/label><select name=\"cf4_field_23\" id=\"cf4_field_23\" class=\"cformselect fldrequired\" title=\"\"><option value=\" \"> <\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-24\" class=\"\"><label id=\"label-4-24\" for=\"cf4_field_24\"><span>Maiden Name<\/span><\/label><input type=\"text\" name=\"cf4_field_24\" id=\"cf4_field_24\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-25\" class=\"\"><label id=\"label-4-25\" for=\"cf4_field_25\"><span>Birth Place<\/span><\/label><input type=\"text\" name=\"cf4_field_25\" id=\"cf4_field_25\" class=\"single fldrequired\" value=\"\" title=\"\"\/><span class=\"reqtxt\">(required)<\/span><\/li><li id=\"li-4-26\" class=\"\"><label id=\"label-4-26\" for=\"cf4_field_26\"><span>Work Phone<\/span><\/label><input  type=\"tel\" name=\"cf4_field_26\" id=\"cf4_field_26\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-27\" class=\"\"><label id=\"label-4-27\" for=\"cf4_field_27\"><span>Mobile Phone<\/span><\/label><input  type=\"tel\" name=\"cf4_field_27\" id=\"cf4_field_27\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-28\" class=\"\"><label id=\"label-4-28\" for=\"cf4_field_28\"><span>High School Graduation Year (if applicable)<\/span><\/label><input  type=\"number\" name=\"cf4_field_28\" id=\"cf4_field_28\" class=\"\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf-fs3\" style=\"\"><legend>Sacramental Information<\/legend><ol class=\"cf-ol\"><li id=\"li-4-30\" class=\"\"><label id=\"label-4-30\" for=\"cf4_field_30\" class=\"cf-before\"><span>Catholic<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_30\" id=\"cf4_field_30\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-31\" class=\"\"><label id=\"label-4-31\" for=\"cf4_field_31\" class=\"cf-before\"><span>Baptism<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_31\" id=\"cf4_field_31\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-32\" class=\"\"><label id=\"label-4-32\" for=\"cf4_field_32\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf4_field_32\" id=\"cf4_field_32\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-33\" class=\"\"><label id=\"label-4-33\" for=\"cf4_field_33\"><span>Location<\/span><\/label><input type=\"text\" name=\"cf4_field_33\" id=\"cf4_field_33\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-34\" class=\"\"><label id=\"label-4-34\" for=\"cf4_field_34\" class=\"cf-before\"><span>First Eucharist<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_34\" id=\"cf4_field_34\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-35\" class=\"\"><label id=\"label-4-35\" for=\"cf4_field_35\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf4_field_35\" id=\"cf4_field_35\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-36\" class=\"\"><label id=\"label-4-36\" for=\"cf4_field_36\"><span>Location<\/span><\/label><input type=\"text\" name=\"cf4_field_36\" id=\"cf4_field_36\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-37\" class=\"\"><label id=\"label-4-37\" for=\"cf4_field_37\" class=\"cf-before\"><span>Reconciliation Preparation<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_37\" id=\"cf4_field_37\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-38\" class=\"\"><label id=\"label-4-38\" for=\"cf4_field_38\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf4_field_38\" id=\"cf4_field_38\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-39\" class=\"\"><label id=\"label-4-39\" for=\"cf4_field_39\"><span>Location<\/span><\/label><input type=\"text\" name=\"cf4_field_39\" id=\"cf4_field_39\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-40\" class=\"\"><label id=\"label-4-40\" for=\"cf4_field_40\" class=\"cf-before\"><span>Confirmation<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_40\" id=\"cf4_field_40\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-41\" class=\"\"><label id=\"label-4-41\" for=\"cf4_field_41\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf4_field_41\" id=\"cf4_field_41\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-42\" class=\"\"><label id=\"label-4-42\" for=\"cf4_field_42\"><span>Location<\/span><\/label><input type=\"text\" name=\"cf4_field_42\" id=\"cf4_field_42\" class=\"single\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-43\" class=\"\"><label id=\"label-4-43\" for=\"cf4_field_43\" class=\"cf-before\"><span>Catholic Marriage<\/span><\/label><input type=\"checkbox\" name=\"cf4_field_43\" id=\"cf4_field_43\" class=\"cf-box-b\" title=\"\"\/><\/li><li id=\"li-4-44\" class=\"\"><label id=\"label-4-44\" for=\"cf4_field_44\"><span>Date<\/span><\/label><input  type=\"date\" name=\"cf4_field_44\" id=\"cf4_field_44\" class=\"\" value=\"\" title=\"\"\/><\/li><li id=\"li-4-45\" class=\"\"><label id=\"label-4-45\" for=\"cf4_field_45\"><span>Location<\/span><\/label><input type=\"text\" name=\"cf4_field_45\" id=\"cf4_field_45\" class=\"single\" value=\"\" title=\"\"\/><\/li><\/ol><\/fieldset><fieldset class=\"cf_hidden\"><legend>&nbsp;<\/legend><input type=\"hidden\" name=\"cf_working4\" id=\"cf_working4\" value=\"One moment please...\"\/><input type=\"hidden\" name=\"cf_failure4\" id=\"cf_failure4\" value=\"Please fill in all the required fields.\"\/><input type=\"hidden\" name=\"cf_customerr4\" id=\"cf_customerr4\" value=\"y\"\/><\/fieldset><p class=\"cf-sb\"><input type=\"submit\" name=\"sendbutton4\" id=\"sendbutton4\" class=\"sendbutton\" value=\"Next\" \/><\/p><\/form><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parish Registration Please take a few moments to register your family at our parish and become part of our Livonia Catholic community!<\/p>\n","protected":false},"author":3,"featured_media":4219,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-4204","page","type-page","status-publish","has-post-thumbnail","hentry","ctfw-has-image"],"_links":{"self":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/4204","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/comments?post=4204"}],"version-history":[{"count":10,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/4204\/revisions"}],"predecessor-version":[{"id":9714,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/pages\/4204\/revisions\/9714"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/media\/4219"}],"wp:attachment":[{"href":"https:\/\/stgenevieve-stmaurice.org\/parish\/wp-json\/wp\/v2\/media?parent=4204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}