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New Parishioner Registration Form
Divine Mercy Parish Warmly Welcome New Parishioners!
Main Parish Office:
1077 Tower Rd. Winnetka, IL 60093 847.446.0856
Sacred Heart School:
1095 Gage St. Winnetka, IL 60093 847.446.0005
Family Information
Family (Last) Name
*
Your Name
*
Home Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
ZIP
*
Email Address
*
Home Phone
Cell Phone
*
Marital Status
*
Religion
*
Date of Birth
*
+
Occupation
*
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Please indicate your primary worship site:
*
Sacred Heart Church
St. Philip the Apostle Church
May we add you to our list of new parishioners in the bulletin?
*
Yes
No
Would you like to receive our daily E-blasts?
*
Yes
No
Do you or someone in your family have a special need that impedes full participation at mass?
*
Yes
No