Parish REGISTRATION

Today's date

Last parish attended

Family last name

Your legal last name (if different)

Address: number, street, apartment

City

State

Zip code

Do you wish to receive donation envelopes?

Yes

No

Preferred Phone

Would you like this number unlisted?

Yes

No

Husband/Father/Male head of household full name

Are you Catholic

Yes

No

What Sacraments have you received

None

Baptism

First Communion

Confirmation

Date of Birth

Marital Status

Employer and occupation

Work phone

Cell phone

email

Wife/Mother/Female head of household full name

Are you Catholic

Yes

No

Date of Birth

What sacraments have you received

None

Baptism

First Communion

Confirmation

Marital status

Employer and Occupation

Work phone

Cell phone

Email

Adult Children

Please don't list your adult children, but remind them to register seperately.

Oldest Child full name first and last

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

None

Baptism

Baptism and First Communion

Baptism, First Communion, and Confirmation

Second Child full name

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

Nond

Baptism

Baptism and First Communion

Baptism, First Communion, and Confirmation

Third child full name

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

None

Baptism

Baptism and First Communion

Baptism, First Communion, and Confirmation

Fourth Child full name

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

None

Baptism

Baptism and First Communion

Baptism, First Communion, and Confirmation

Fifth Child full name

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

None

Baptism

Baptism and First Communion

Baptism, Fist Communion, and Confirmation

Sixth Child full name

Boy/Girl

Boy

Girl

Date of Birth

Sacraments this child has received

None

Baptism

Baptism and First Communion

Baptism, First Communion, and Confirmation

We celebrate large families! Please list your additional children with the same details:

New Parishioner Registration

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