New Parishioner Registration Form

Welcome! New Parishioners are invited to register. Please use the online form to register or you may visit the Parish Office which is located at 505 Pine Street. Our office hours are from 8:30 am till 4:30 pm.

Soon after registration, you will receive a card from Rev. Monsignor Giroir welcoming you to the St. Anselm Parish Community. Envelopes will arrive in about 2 weeks.

We invite you to tell us about your interests, talents, or needs – so we can welcome you into the full life of our active parish.

For more information on registering as a new parishioner please contact Mrs. Pat Quinn, our Parish Secretary, at (985) 845-7342 or by email at parishdata@stanselmpaish.org.

Are you registered at another parish within the Archdiocese of New Orleans? REQUIRED Yes* No Please fill out this field.

*If "yes", please list the parish here.

Title REQUIRED

Professional Tiles Dr., etc, etc

Please fill out this field. Please enter valid data.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Birth Date REQUIRED

05/03/1961

Please fill out this field. Please enter valid data.

Marital Status REQUIRED Please fill out this field.

Languages Spoken REQUIRED Please fill out this field.

Occupation REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field.

Sacraments Received Baptism First Communion Confirmation Marriage

Date and Parish Location for above Sacraments REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Address (APT #, Floor) REQUIRED Please fill out this field.

Civil Parish REQUIRED Please fill out this field.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cellular Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Spouse Information, if required REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name, if Required REQUIRED Please fill out this field. Please enter valid data.

Birth Date REQUIRED Please fill out this field. Please enter valid data.

Languages Spoken REQUIRED Please fill out this field.

Occupation REQUIRED Please fill out this field. Please enter valid data.

Religion REQUIRED Please fill out this field. Please enter valid data.

Cellular Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Sacraments Received Baptism First Communion Confirmation Marriage

Date and Parish Location for above Sacraments REQUIRED Please fill out this field.

Address (APT #, Floor), if different from above REQUIRED

1234 Elm St., Madisonville, La 70447

Please fill out this field. Please enter valid data.

Civil Parish REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Additional Information REQUIRED Please fill out this field.

Auto Reply Email REQUIRED Please fill out this field. Please enter an email address.

I Agree with the information provided above Please select this field.