Parish Registration

General Information

• Family Name *
• House Phone Number *
• Primary Family Cell Number *
• Primary Email Address *
  This email address will be added to our Parish News distribution list, which is used to inform parishioners of important announcements, including closing and schedule changes. If you would like to opt out of these emails, please contact the parish office.
• Street Address *
• Address Line 2
• City *
• State * ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Zip Code *
• How would you like to contribute to the parish? * I would like to contribute using online giving.I would like to contribute using debit donation.I would like to contribute using parish envelopes.
• Would you like to receive the Catholic Review? * YesNo

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• Family Members

• Head of Household

• First Name *
• Maiden Name (if applicable)
• Last Name *
• Date of Birth *
• Gender *
• Occupation & Employer *
• Language(s) Spoken * EnglishSpanishFrenchTagalogVietnameseOther
• Religion * Roman Catholic ChurchProtestant ChristianOrthodox ChristianJewishMuslimUnaffiliated/NoneOther
• Sacraments Received * BaptismEucharistConfirmationMatrimonyHoly OrdersNone of the above

• Co-Head of Household/Second Adult

• First Name *
• Maiden Name (if applicable)
• Last Name *
• Date of Birth *
• Gender *
• Occupation & Employer *
• Language(s) Spoken * EnglishSpanishFrenchTagalogVietnameseOther
• Religion * Roman Catholic ChurchProtestant ChristianOrthodox ChristianJewishMuslimUnaffiliated/NoneOther
• Sacraments Received * BaptismEucharistConfirmationMatrimonyHoly OrdersNone of the above

• Children Under the Age of 25 Living at Home

• Please complete this information only for children living at home who have not yet turned 25. Older children or other adults living in the household should complete a separate registration form.

• 	Child #1	Child #2	Child #3
  Child's Full Name
  Child's Preferred Name
  Child's Date of Birth
  Child's Gender (M/F)
  Child's Current Grade & School
  Child's Religion
  Language(s) Child Speaks

• (Continued for additional children if necessary. If you have more than 6 children, please contact the parish office to provide the additional information.)

• 	Child #4	Child #5	Child #6
  Child's Full Name
  Child's Preferred Name
  Child's Date of Birth
  Child's Gender (M/F)
  Child's Current Grade & School
  Child's Religion
  Language(s) Child Speaks

• Sacraments Received by the Children Above

• 	Child #1	Child #2	Child #3	Child #4	Child #5	Child #6
  Baptism	Yes	Yes	Yes	Yes	Yes	Yes
  Reconciliation (prep)	Yes	Yes	Yes	Yes	Yes	Yes
  Eucharist	Yes	Yes	Yes	Yes	Yes	Yes
  Confirmation	Yes	Yes	Yes	Yes	Yes	Yes

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• Your Place in the Community

• Linked Households

• Is there anyone at the parish who is a relative or friend? Let us know with whom and how you are connected here:

• What Are Your Interests & Gifts

• Please select any ministries and/or parish organization you, or your family members, would like to learn more about... Creating CommunityMen's ClubDevelopment & Finance CommitteeAdult Faith FormationRite of Christian Initiation of Adults (RCIA)Religion Ed TeacherReligious Ed AssistantFacilities CommitteeFuneral MinistryPastoral Visitors (Visits sick/homebound parishioners)Knights of ColumbusLiturgy CommitteeAltar ServersLiturgical EnvironmentLectorsSacristans/Mass CoordinatorsUshers & GreetersAdult ChoirInstrumentalistsNONE AT THIS TIMEOther
• Please identify any skills or interests that you may be able to use to volunteer for the parish: * Advertising/MarketingCleaningDecoratingGardeningInterior DesignPaintingSecurityBakingCommunicationsElectricalGraphic DesignMarketingPlumbingCarpentryCookingFundraisingInformation TechnologyOffice HelpPhotographyNONE AT THIS TIMEOther

• How Can We Help You?

• Is there anything your family currently needs?
• Is there anything else you would like us to know about you or your family?

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