Church Membership Form

PARISH ENROLLMENT FORM

All information on this form is strictly confidential
Type of Registration

NewRegistered Under ParentsFormerly Registered at St.ThomasFormerly Registered at a different parish
Have you been enrolled before?*

YESNO
If Yes, When were you enrolled?
Full Name*

First NameMiddle NameLast NameSuffix
Gender*

MaleFemale
Marital Status*

SingleMarried
Date of Birth*

MonthDayYear
E-mail*
example@example.com
Mobile Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SACRAMENTS RECEIVED

BaptismFirst CommunionConfirmation
First Name Last Name DOB*
First Name Last Name DOB*
First Name Last Name DOB*
Are you interested in any Ministries?

VIRTUS Safe Environment (Bilingual)Circle of GraceCatechism Pre-K to 12thAdult RCIABAPTISM CLASSES (Bilingual)Spanish Prayer GroupLas TeresitasLas GuadalupanasKnights of ColumbusChoir GroupsJail MinistryOther
What role do you play in your church youth group, if any?
Should be Empty:

PARISH ENROLLMENT FORM