Parish Registration Form

To become a registered parishioner and receive information in the mail about the parish events and activities, please complete this registration form. (Information provided will be kept confidential)

Name:	(as preferred on correspondence and all mailings, inlcuding titles)
Address:

City:
State:	Zip:
Email:
Home Phone:	Unlisted?
Children at Home?	Number:

Self
First Name:
Sex:	Birthday:
Religion:
Occupation:
Work Phone:
Sacraments Received:	Baptism Penance Eucharist Confirmation Single Church Marriage Marriage Widowed Divorced Areas of interest, specific ministries:

Spouse
First Name:
Sex:	Birthday:
Religion:
Occupation:
Work Phone:
Sacraments Received:	Baptism Penance Eucharist Confirmation Single Church Marriage Marriage Widowed Divorced

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation

Child
First Name:
Sex:	Birthday:
Religion:
Grade:
Sacraments Received:	Baptism Penance Eucharist Confirmation