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Registration
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
Home
About
Registration
Safe Parish Child Protection
Bulletins
Calendar
Credit Union
Frequently Asked Questions
>
Returning to Mass
Parish History
FaithDirect
Staff
>
Parish Commissions
Links
Sacraments
Baptism
Reconciliation and Eucharist
Confirmation
Become Catholic: Christian Initiation for Adults (RCIA)
Marriage
Anointing of the Sick
Funeral Mass
Youth
Religious Education
Adults
Pause and Pray
Marriage and Family Life
Military Families
Spiritual Direction
Ministries
Committees
Educational Ministries
Liturgical Ministries
Music Ministries
Service Ministries
School
Festival