Registration - St. Helen Parish

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Parish Registration Form

* Indicates required field

Head of Household (HoH) *

First

Last

HoH Middle Name *

HoH Nickname *

HoH Maiden Name *

HoH Sex *

Female Male

HoH Date of Birth *

Address *

Home Phone Number *

HoH Cell Phone Number *

HoH Religious Affiliation *

Catholic Other Christian Jewish Muslim Other

HoH Sacramental Status (check all that apply) *

Baptism First Reconciliation First Eucharist Confirmation Attends Church Regularly

HoH Employer *

HoH Occupation *

HoH Work Phone Number *

HoH Email *

May we add your email to our weekly Emailed Bulletin distribution list *

Yes No

Spouse/Significant Other (S/SO) *

First

Last

S/SO Middle Name *

S/SO Nickname *

S/SO Maiden Name *

S/SO Sex *

Female Male

S/SO Date of Birth *

S/SO Cell Phone Number *

S/SO Religious Affiliation *

Catholic Non-Catholic Christian Jewish Muslim Other

S/SO Sacramental Status (check all that apply) *

Baptism First Reconciliation First Eucharist Confirmation Attends Church Regularly

S/SO Employer *

S/SO Occupation *

S/SO Work Phone Number *

Marital Status (check one) *

Single Married Widowed Divorced Remarried

Current Marriage by a Catholic Priest or Deacon? *

Yes No

Current Marriage Date *

Where did your current marriage take place? (Church/court, City and State) *

For the following, please fill out a form for each child ONLY if age 25 or younger AND living at home or in college. Adult children or children who have their own household must register on their own.

Child 1 *

First

Last

Child 1 Middle Name *

Child 1 Date of Birth *

Child 1 Sex *

Female Male

Child 1 School/Grade *

Child 1 Sacramental Status *

Baptism First Reconciliation First Eucharist Confirmation Attends Church regularly

Child 2 *

First

Last

Child 2 Middle Name *

Child 2 Date of Birth *

Child 2 Sex *

Female Male

Child 2 School/Grade *

Child 2 Sacramental Status *

Baptism First Reconciliation First Eucharist Confirmation Attends Church regularly

Child 3 Name *

First

Last

Child 3 Middle Name *

Child 3 Date of Birth *

Child 3 Sex *

Female Male

Child 3 School/Grade *

Child 3 Sacramental Status *

Baptism First Reconciliation First Eucharist Confirmation Attends Church regularly

Child 4 Name *

First

Last

Child 4 Middle Name *

Child 4 Date of Birth *

Child 4 Sex *

Female Male

Child 4 School/Grade *

Child 4 Sacramental Status *

Baptism First Reconciliation First Eucharist Confirmation Attends Church regularly

Child 5 Name *

First

Last

Child 5 Middle Name *

Child 5 Date of Birth *

Child 5 Sex *

Female Male

Child 5 School/Grade *

Child 5 Sacramental Status *

Baptism First Reconciliation First Communion Confirmation Attends Mass regularly

If you have been blessed with a large family, please put any additional information in the box below. *

Submit

Come Visit.

Office Hours

Monday through Thursday
8:00am-4:00pm
Friday 8:00am-12:00pm

St. Helen Parish
605 Granville Place
Riverside, OH 45431
937.254.6233
office@sthelenparish.org

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Home
About
Sacraments
Family of Parishes
Youth
- Religious Education
Adults
Ministries
School
Festival