New Parishioner Registration Form

Member Registration Form

New Parishioner
Header
Today's Date *

Month Day Year
Date
Member Since:

Month Day Year
Date
Head of Household
Head of Household - Full Name *

Prefix First Name Middle Name Last Name Suffix
Maiden Name
Preferred Name or Nickname
Sex:
Birthdate:

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number: *
Phone Number listed is:

Cell/Mobile Phone Home Phone Work Phone
Occupation:
Employer:
Work Phone Number:
Please enter a valid phone number.
Fax Number:
Please enter a valid phone number.
Cell Phone Number:
Please enter a valid phone number.
E-mail
example@example.com
Religion:
Marital Status
Wedding Date:

Month Day Year
Date
Do you have a Catholic Marriage, Blessed by the Church?

Yes No
Are you Baptized?

Yes No
Are you Confirmed?

Yes No
Spouse
Spouse - Full Name

Prefix First Name Middle Name Last Name Suffix
Spouse Maiden Name
Spouse Preferred Name or Nickname
Sex of Spouse:
Spouse Birthdate:

Month Day Year
Date
Spouse Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Spouse Home Phone Number:
Spouse Occupation:
Spouse Employer:
Spouse Work Phone Number:
Please enter a valid phone number.
Spouse Fax Number:
Please enter a valid phone number.
Spouse Cell Phone Number:
Please enter a valid phone number.
Spouse E-mail Address:
example@example.com
Spouse Religion:
Is Spouse Baptized?

Yes No
Is Spouse Confirmed?

Yes No
Children
Name of Child #1

First Name Middle Name Last Name
Sacraments Received:

Baptism First Communion Confirmation
Birthdate

Month Day Year
Date
School:
Name of Child #2

First Name Middle Name Last Name
Sacraments Received:

Baptism First Communion Confirmation
Birthdate

Month Day Year
Date
School:
Name of Child #3

First Name Middle Name Last Name
Sacraments Received:

Baptism First Communion Confirmation
Birthdate

Month Day Year
Date
School:
Stewardship of Time and Talents
Skills and Talents

Check areas in which you already serve, are willing to serve, or have an interest.
Carpentry/Construction

Head of Household Spouse Child
Computer

Head of Household Spouse Child
Cooking

Head of Household Spouse Child
Data Entry / Typist

Head of Household Spouse Child
Electrical

Head of Household Spouse Child
Heating / AC Technician

Head of Household Spouse Child
Painter

Head of Household Spouse Child
Plumber

Head of Household Spouse Child
Telephoning

Head of Household Spouse Child
Other
Liturgical Ministries
Cantor

Head of Household Spouse Child
Choir

Head of Household Spouse Child
Church Decoration

Head of Household Spouse Child
Communion Minister

Head of Household Spouse Child
Communion Minister to the Homebound

Head of Household Spouse Child
Funeral Choir

Head of Household Spouse Child
Greeter / Usher

Head of Household Spouse Child
Hand Bell Choir

Head of Household Spouse Child
Lector / Reader

Head of Household Spouse Child
Musical Instrument

Head of Household Spouse Child
Organist

Head of Household Spouse Child
Server

Head of Household Spouse Child
Education
Adult Faith Formation

Head of Household Spouse Child
Alumni

Head of Household Spouse Child
Baptism Preparation

Head of Household Spouse Child
Catholic Initiation Class (help with the Class)

Head of Household Spouse Child
Catholic Initiation Class (take the Class)

Head of Household Spouse Child
Patrons Club

Head of Household Spouse Child
Parish School of Religion (PSR) Teacher / Aide

Head of Household Spouse Child
PSR Volunteer

Head of Household Spouse Child
School Board

Head of Household Spouse Child
Scripture Group

Head of Household Spouse Child
Small Faith Groups

Head of Household Spouse Child
Sunday School

Head of Household Spouse Child
Vacation Bible School

Head of Household Spouse Child
Volunteer for School

Head of Household Spouse Child
Other
Other Organizations / Activities
Annual Catholic Appeal (ACA) Worker

Head of Household Spouse Child
Cemetery Board

Head of Household Spouse Child
Dust Busters (Church Cleaning)

Head of Household Spouse Child
Eucharistic Adoration

Head of Household Spouse Child
Farm Board

Head of Household Spouse Child
Finance Committee

Head of Household Spouse Child
Funeral Lunches

Head of Household Spouse Child
Gardening (Parish Grounds)

Head of Household Spouse Child
Hospitality Committee

Head of Household Spouse Child
Knights of Columbus

Head of Household Spouse Child
Ladies Auxiliary (Associated with the Knights of Columbus)

Head of Household Spouse Child
Money Counter

Head of Household Spouse Child
Parish Bingo

Head of Household Spouse Child
Parish Council

Head of Household Spouse Child
Parish Picnic Worker

Head of Household Spouse Child
Prayer Chain

Head of Household Spouse Child
Quilting

Head of Household Spouse Child
Scrip Program

Head of Household Spouse Child
St. Vincent de Paul Society (helping neighbors in need)

Head of Household Spouse Child
Stewardship Committee

Head of Household Spouse Child
Visiting Shut-ins

Head of Household Spouse Child
Western Catholic Union (WCU)

Head of Household Spouse Child
Other
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Member Registration Form