Church *

Sacred Heart, Battle Ground, WA

St. Joseph the Worker Yacolt, WA

Name 1 *

First Name

Last Name

Address *

If your mailing address is different from your physical address, please provide both.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone 1 *

(###)

###

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Receive parish mail by email? *

Yes

No

Date of Birth 1 *

MM

DD

YYYY

Gender 1 *

Male

Female

Sacraments 1

Baptism

Confirmation

Married (Church)

Married (Other)

Name 2

First Name

Last Name

Phone 2

(###)

###

####

Receive parish mail by email?

Yes

No

Date of Birth 2

MM

DD

YYYY

Gender 2

Male

Female

Sacraments 2

Baptism

Confirmation

Married (Church)

Married (Other)

I/We would like more information regarding

Sacramental Prep

Annulment

Communion to the Homebound

A visit with Father