Parish Registration Form

Parish Registration Form

Couple/Head of Household Information

Please give the correct information for the following
Address
Address
City
State/Province
Zip/Postal
Country
Marital Status
Children
I would like to receive Contribution Envelopes
I am interested in registering with Online Giving
Do we have your permission to publish your family name in the "Welcome New Families" section of the bulletin/website?
Please check all that apply

Adult Information

Husband/Head
Husband/Head
First
Last
First Language
Second Language
Baptized - Roman Catholic
I have received the following Sacraments
RCIA

Adult Information

Wife
Wife
First
Maiden Name
First Language
Second Language
Baptized - Roman Catholic
I have received the following Sacraments
RCIA

Children Information

Name
Name
First
Middle
Last
Gender
Baptized - Roman Catholic
Reason for selecting No to Baptism
Has your child received other Sacraments
My child has received the following Sacraments
Is your child in Grades 1st thru 8th?
Are you interested in registering your child for any of the following programs?