Parish Registration Form

Parish Registration Form

Please fill out the form below. If you have children use the space provided.
* Indicates Required Field

Please indicate New Parishioner or Change of Address:
I am:
Head of Household

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Catholic?
Sacraments Received (Check all that apply)
Email
e-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile/Phone
Marital Status
SPOUSE INFORMATION

If Married Please Provide Spouse Name
Spouse Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Catholic?
Sacraments Received (Check all that apply)
Spouse Mobile/Phone
CHILDREN LIVING AT THIS ADDRESS:
Full Name of Child #1

First NameMiddle NameLast Name
Son / Daughter
Date of Birth

MonthDayYear
Date
Sacraments Received (Check all that apply)
Full Name of Child #2

First NameMiddle NameLast Name
Son / Daughter
Date of Birth

MonthDayYear
Date
Sacraments Received (Check all that apply)
Full Name of Child #3

First NameMiddle NameLast Name
Son / Daughter
Date of Birth

MonthDayYear
Date
Sacraments Received (Check all that apply)
Full Name of Child #4

First NameMiddle NameLast Name
Son / Daughter
Date of Birth

MonthDayYear
Date
Sacraments Received (Check all that apply)
Full Name of Child #5

First NameMiddle NameLast Name
Son / Daughter
Date of Birth

MonthDayYear
Date
Sacraments Received (Check all that apply)
Giving Options:
Thank you, we are grateful for your support and generosity!
I would like information on the following ministry:
Do you have any additional information you would like to share with us?
Please Note - To give online/electronically please visit our ONLINE GIVING webpage http://www.stanthonyfresno.org/online-giving/ to sign-up or click on the link below.
Please verify that you are human
Should be Empty: