Register Parish Registration Form 1 Family Information2 Family Contact3 Additional Family Members & Other Information Section 1: General InformationFamily Name * RequiredPhone * RequiredAddress * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code SubdivisionLanguage Spoken at Home Primary Family Contact(s)Not including the Family Contact (and spouse, if applicable), how many children or additional adults are in your household? * Required0123456 or moreFamily ContactFamily Contact's Name * Required Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last SexMaleFemaleDate of Birth - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Current Marital Status * RequiredMarried in the Catholic ChurchSingleTo whom may we send mail? * RequiredFamily Contact and SpouseFamily Contact onlySpouse onlyLanguages SpokenReligionMobile PhoneWork PhoneEmail - Family Contact Email Updates - Family ContactWould you like to get updates via email about upcoming parish programs and events? Yes, send the biweekly parish email newsletter to the Family Contact's email Sacraments of Initiation Received * Required Baptism First Reconciliation First Communion Confirmation None OccupationEmployerSpouseSpouse's Name * Required Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last SexMaleFemaleDate of Birth - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Languages SpokenReligionMobile PhoneWork PhoneEmail - Spouse Email Updates - SpouseWould you like to get updates via email about upcoming parish programs and events? Yes, send the biweekly parish email newsletter to the Spouse's email Sacraments of Initiation Received * Required Baptism First Reconciliation First Communion Confirmation None OccupationEmployerChild or Additional Adult 1 Additional Family Members and Other InformationAdditional AdultsFirst NameLast NameSexDate of BirthOccupation/EmployerSacraments Received Additional ChildrenFirst NameLast NameSexDate of BirthOccupation/EmployerSacraments Received Additional CommentsPlease share any additional information that you wish for our parish staff to be aware of.How would you like to be involved in our parish?Please describe any particular ministries you would like to assist with or special skills you would be willing to contribute to our parish community. Share this:Click to print (Opens in new window)Click to email this to a friend (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)MoreClick to share on Reddit (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Pinterest (Opens in new window)Click to share on LinkedIn (Opens in new window)
