Church Membership Form

PARISH ENROLLMENT FORM

All information on this form is strictly confidential

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Type of Registration

New Registered Under Parents Formerly Registered at St.Thomas Formerly Registered at a different parish
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Have you been enrolled before? *

YES NO
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If Yes, When were you enrolled?
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Full Name *

First Name Middle Name Last Name Suffix
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Gender *

Male Female
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Marital Status *

Single Married
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Date of Birth *

Month Day Year
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E-mail *
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Mobile Phone Number
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Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

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SACRAMENTS RECEIVED

Baptism First Communion Confirmation
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First Name Last Name DOB*

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First Name Last Name DOB*

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First Name Last Name DOB*

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Are you interested in any Ministries?

VIRTUS Safe Environment (Bilingual) Circle of Grace Catechism Pre-K to 12th Adult RCIA BAPTISM CLASSES (Bilingual) Spanish Prayer Group Las Teresitas Las Guadalupanas Knights of Columbus Choir Groups Jail Ministry Other
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What role do you play in your church youth group, if any?
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Should be Empty:

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PARISH ENROLLMENT FORM