New Parishioner Registration Form

Ste. Genevieve (Missouri) Catholic Parish

New Parishioner Registration form
Header
Today's Date

MonthDayYear
Date
Member Since:

MonthDayYear
Date
Head of Household
Head of Household - Full Name

PrefixFirst NameMiddle NameLast NameSuffix
Maiden Name
Preferred Name or Nickname
Sex:
Birthdate:

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number:
Format: (000) 000-0000.
Phone Number listed is:
Occupation:
Employer:
Work Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number:
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Religion:
Marital Status
Wedding Date:

MonthDayYear
Date
Do you have a Catholic Marriage, Blessed by the Church?
Are you Baptized?
Are you Confirmed?
Spouse
Spouse - Full Name

PrefixFirst NameMiddle NameLast NameSuffix
Spouse Maiden Name
Spouse Preferred Name or Nickname
Sex of Spouse:
Spouse Birthdate:

MonthDayYear
Date
Spouse Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse Home Phone Number:
Format: (000) 000-0000.
Spouse Occupation:
Spouse Employer:
Spouse Work Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Spouse Fax Number:
Please enter a valid phone number.Format: (000) 000-0000.
Spouse Cell Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Spouse E-mail Address:
example@example.com
Spouse Religion:
Is Spouse Baptized?
Is Spouse Confirmed?
Children
Name of Child #1

First NameMiddle NameLast Name
Sacraments Received:
Birthdate

MonthDayYear
Date
School:
Name of Child #2

First NameMiddle NameLast Name
Sacraments Received:
Birthdate

MonthDayYear
Date
School:
Name of Child #3

First NameMiddle NameLast Name
Sacraments Received:
Birthdate

MonthDayYear
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
Computer
Cooking
Data Entry / Typist
Electrical
Heating / AC Technician
Painter
Plumber
Telephoning
Other
Liturgical Ministries
Cantor
Choir
Church Decoration
Communion Minister
Communion Minister to the Homebound
Funeral Choir
Greeter / Usher
Hand Bell Choir
Lector / Reader
Musical Instrument
Organist
Server
Education
Adult Faith Formation
Alumni
Baptism Preparation
Catholic Initiation Class (help with the Class)
Catholic Initiation Class (take the Class)
Patrons Club
Parish School of Religion (PSR) Teacher / Aide
PSR Volunteer
School Board
Scripture Group
Small Faith Groups
Sunday School
Vacation Bible School
Volunteer for School
Other
Other Organizations / Activities
Annual Catholic Appeal (ACA) Worker
Cemetery Board
Dust Busters (Church Cleaning)
Eucharistic Adoration
Farm Board
Finance Committee
Funeral Lunches
Gardening (Parish Grounds)
Hospitality Committee
Knights of Columbus
Ladies Auxiliary (Associated with the Knights of Columbus)
Money Counter
Parish Bingo
Parish Council
Parish Picnic Worker
Prayer Chain
Quilting
Scrip Program
St. Vincent de Paul Society (helping neighbors in need)
Stewardship Committee
Visiting Shut-ins
Western Catholic Union (WCU)
Other
Should be Empty:

Ste. Genevieve (Missouri) Catholic Parish