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Home
About
Faith
- Liturgy
- Learn More
Parish Life
- Get Involved
- Formation
  - Continuing Faith Formation
  - Children and Families
UNC Students
Events & News
Give

New Parishioner Registration

- About

The maximum number of form submissions has been reached. This form is currently not available.
- Welcome to the Newman Community!
  
  To register as a new parishioner, please complete and submit the form below. One of our Pastoral Associates will be in touch with you soon.
- Personal Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address 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.
  
  Date of Birth (MM/DD/YEAR) REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Male / Female REQUIRED Male Female Please fill out this field.
- Occupational Information
  
  Occupation Please enter valid data.
  
  UNC Affiliation (Select One) REQUIRED UNC Faculty UNC Staff UNC Graduate Student UNC Undergrad Student UNC Alum No UNC Affiliation Please fill out this field.
  
  If applicable, which UNC Department? Please enter valid data.
- Spouse Information
  
  Spouse - First and Last Name Please enter valid data.
  
  Spouse - Male / Female Male Female
  
  Spouse - Date of Birth (MM/DD/YEAR) Please enter valid data.
  
  Spouse - Email Please enter valid data.
  
  Spouse - Phone Number Please enter valid data.
  
  Spouse - Occupation Please enter valid data.
- Number of Children Living at Home REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Additional Info
- Would you like to be contacted about setting up an online giving account? REQUIRED Yes No Please fill out this field.
- Additional Information
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NEWMAN CATHOLIC STUDENT CENTER PARISH

218 Pittsboro Street | Chapel Hill, NC 27516
[email protected]
919.929.3730

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