Parishioner Registration Form

Hi! Whether you're new to our parishes or revising information, this is the form that will allow our staff to get accurate details about you and your family.

 

New or Returning? *
Are you a new parishioner or simply updating your information. Let us know!
If you're an existing parishioner and receive envelopes, please give us your envelope number if you know it.
Parish of Registration *
Please indicate in which parish you are registering.
This is the usually the last name by which everyone in your family is known.
Contact Preference
Let us know how you would ordinarily like to be contacted. Check all that apply.
Mailing Address
Mailing Address
Please give us your mailing address This may be a PO Box.
Physical Address
Physical Address
Please provide your home address (If different from your mailing address)
Home or Cell Phone
Home or Cell Phone
Give us a good phone number to reach you.
Work Phone
Work Phone
Is there a number should we need to call you at work?
Head of Household Information
Head of Household Name *
Head of Household Name
What is the name of the head of your household
How is the head of household officially addressed? (e.g., Dr., Mr., Mrs., Miss, Ms.)
Is the head of your household male or female?
Does the Head of Household have a suffix? (e.g., Sr., Jr., Ph.D., etc.)
Sacraments Received
Please indicate all of the Sacraments that have been received by the head of household. Check all that apply.
Spouse
Spouse
What is the First Name and the Maiden Name of the spouse of the head of household (if applicable)?
Sacraments Received
Please indicate all of the Sacraments that have been received by the head of household. Check all that apply.
Spouse Phone Number
Spouse Phone Number
Does the spouse have a cell or other number?
Children
Please provide information about any children in your household.
Child 1
Child's Name
Child's Name
Birthdate
Birthdate
Where does this child attend school?
Sacraments Received
Please indicate all of the Sacraments that have been received by this child. Check all that apply.
Child 2
Child's Name
Child's Name
Birthdate
Birthdate
Where does this child attend school?
Sacraments Received
Please indicate all of the Sacraments that have been received by this child. Check all that apply.
Child 3
Child's Name
Child's Name
Birthdate
Birthdate
Where does this child attend school?
Sacraments Received
Please indicate all of the Sacraments that have been received by this child. Check all that apply.
Child 4
Child's Name
Child's Name
Birthdate
Birthdate
Where does this child attend school?
Sacraments Received
Please indicate all of the Sacraments that have been received by this child. Check all that apply.
If you have additional children, congratulations! You are certainly living with an openness to life! Please provide us with Name, Sex, Birthdate, School, and Sacraments received in the text box below. You may want to separate multiple children by adding a double equal sign (==) in between each new listing.