Parish Registration Form

Family Name*
Phone*
Primary Email*
Date of Registration*
Month
Day
Year
Address*
Street Address Address Line 2 City State ZIP Code
Family Members
Please only include family members that currently live in your home.
Head of Household*
Name Birth Date Religion Baptism Date Communion Date Confirmation Date Occupation & Employment
Spouse
Name Birth Date Religion Baptism Date Communion Date Confirmation Date Occupation & Employment
Single Adult
Please click the + icon on the right to add another single adults.
Name Birth Date Religion Baptism Date Communion Date Confirmation Date Occupation & Employment
Child(ren)
Please click the + icon on the right to add another child.
Name Birth Date Religion Baptism Date Communion Date Confirmation Date Occupation & Employment
Ethnicity*
Language(s) Spoken at Home*
Are you a full-time resident of the parish?*
- Yes
- No
What months are you usually here?*
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Previous Parish*
If you served in any ministries at your previous parish, please list them here:
Marital Status*
- Single
- Married
- Divorced/Separated
- Widow/Widower
Has the Catholic Church "blessed" your marriage?*
- Yes
- No
Wedding Anniversary Date*
Month
Day
Year
Contribution Envelopes
Please use the contribution envelopes that you will receive in the mail. Using your envelopes insures accurate records and enables us to provide you with an account of your yearly contributions for income tax purposes. Please consider electronic giving. Thank you!

Step 1 of 2

Family Members

Contribution Envelopes

Stewardship & Ministries

Name	Birth Date	Religion	Baptism Date	Communion Date	Confirmation Date	Occupation & Employment

Name	Birth Date	Religion	Baptism Date	Communion Date	Confirmation Date	Occupation & Employment