Registration

Register at St. Alphonsus Liguori

Please fill out the registration form below. Our parish secretary will add your information to our database and send you an invitation to log in to our database. Once there, you'll be able to check the accuracy of your information.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Registration
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  The phone number listed is a... REQUIRED Mobile Phone Home Phone Work Phone Please fill out this field.
  
  Alternate Phone Number Please enter valid data.
  
  Alternate phone number listed is a... Mobile Phone Home Phone Work Phone
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Familiy Position REQUIRED Head of Household Spouse Adult Other Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Marital Status REQUIRED Single Married Divorced Widowed Please fill out this field.
  
  If married, please provide location name, city & state Please enter valid data.
  
  Maiden Name (if appropriate) Please enter valid data.
  
  Would you like to receive the Catholic Moment? REQUIRED Yes No Please fill out this field.
  
  Are you homebound? Yes No
  
  Primary Language REQUIRED English Spanish Other Please fill out this field.
  
  Religion REQUIRED Catholic Other Please fill out this field.
  
  If you chose "Other" under Religion, please specify Please enter valid data.
  
  If you are married, please fill out your spouse's information.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Maiden Name (if appropriate) Please enter valid data.
  
  Does your spouse live at the same address? Yes No
  
  If you chose "No", please provide address. Please enter valid data.
  
  Phone Number Please enter valid data.
  
  The phone number listed is a... Mobile Phone Home Phone Work Phone
  
  Alternate Phone Number Please enter valid data.
  
  Alternate phone number listed is a... Mobile Phone Home Phone Work Phone
  
  Email Please enter an email address.
  
  Familiy Position
  
  Date of Birth Please enter valid data.
  
  Gender Male Female
  
  Is your spouse homebound? Yes No
  
  Primary Language English Spanish Other
  
  Religion Catholic Other
  
  If you chose "Other" under Religion, please specify Please enter valid data.
  
  Number of Children 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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  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.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Does child live at the same address? Yes No
  
  If you selected "No", please provide address. Please enter valid data.
  
  Date of birth Please enter valid data.
  
  Gender Male Female
  
  Is he/she homebound? Yes No
  
  Religion Catholic Other
  
  If you choose "Other" under Religion, please specify Please enter valid data.
  
  Has child been baptized? Yes No
  
  If yes, please provide church name, city and state Please enter valid data.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Realm: Parish Database
- About Realm
  WHAT IS REALM?
  
  Realm is an online ministry tool designed for real time connection. It helps our church connect with you and you connect with us. If you consider yourself part of this church family, you’ll love it. Realm allows you to manage your personal information and control your giving.
  
  WHY USE REALM?
  
  Realm helps us serve you better. It engages everyone in the life of our church by supporting the healthy relationships essential to our church’s mission. When we share life together, we will grow together.
  
  WHAT ABOUT MY PRIVACY?
  
  Realm keeps your data safe and gives you control over what information you share and who can see it.
- Current Parishioners
  I Have Never Logged In To Realm
  
  If you believe you are a registered SAL parishioner, please contact the parish office. Email [email protected] or call 317.873.2885.
  
  Our parish secretary will send you a link to log in and review your account.
  
  Once logged in, check to make sure that we have your address and other personal information entered correctly under My Profile. If anything is incorrect, please change it.
  
  Your Realm login works on your home computer and on mobile devices.
  
  If you have any questions, please contact our parish secretary at [email protected] or 317.873.2885.
  
  I Have Already Logged In To Realm
  
  To access your account, go to www.onrealm.org.
  
  Once logged in, check to make sure that we have your address and other personal information entered correctly under My Profile. If anything is incorrect, please change it.
- New Parishioners
  How do I join St. Alphonsus Parish?
  
  Fill out the information in the form above.
  
  Our parish secretary will email you a personal link to look at your profile.
  
  You may check to make sure that we have your address and other personal information entered correctly under My Profile. If anything is incorrect, please change it.
  
  Your Realm login works on your home computer and on mobile devices.
  
  If you have any questions, please contact our parish secretary at [email protected] or 317.873.2885.