Parish Registration & Census Form

A warm welcome is extended to all who come to Blessed Sacrament. As a faith community, we urge that all parishioners register with the parish office. This ensures that we provide you and your family with the proper catechetical, pastoral and sacramental care.
- Certificates of eligibility to sponsor at Baptism or Confirmation will ONLY be provided to registered parishioners who are active and practicing Catholics.
- Only registered parishioners can be enrolled in our religious education program.
- Kindly notify us if you move out of the parish.
If you already registered, please take a few moments to complete this electronic registration form in its entirety (where applicable). Please be sure to include ALL adult and children (under 21) family members that reside at home. Paper copies of the registration form are also available at the parish office.
Registration Date *

Month Day Year
Former Parish Name
Former Parish City & State
Still registered in another parish? *
Family Last Name *
Street address *
Street address line 2
City *
State *
Zip code *
All registered families are automatically added to Flocknote, our parish communication system. Flocknote provides important updates via email or text.
Cell Phone *
Home Phone *
E-mail Address *

Confirmation Email example@example.com
I give permission for the parish to add my contact information to Flocknote: Name, cell (or landline) and email. *
Permission for primary contact above to be added to Flocknote.
Marital Status *
Married by:
Date of Marriage

Month Day Year
Date
Maiden Name
Married In: (Parish Name)
Married In: (Parish City & State)
Do you have any elderly or other adults living at home you wish to register (other than a spouse/partner) *
Name of elderly or other adult / relationship to head of household
Adult 1
First Name *
Last Name *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Attends Mass *
Education Completed *
Occupation *
Employer *
Business Address *
Business Phone
Is there another adult in the household? *

Adult 2
First Name *
Middle Initial
Last Name *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Attends Mass *
Education Completed *
Occupation *
Employer *
Business Address *
Business Phone

Additional Information
How do you wish to contribute? *
Please include any other relevant information you would like us know or would you like the Pastor to be aware of:
Do you wish to consult with a Priest? *
Do you have children under the age of 21? *

Yes No

Children Under 21 years of age - residing at home. Please complete for each child.
Child 1
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic?
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *
Do you have another child? *

Yes No

Child 2
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *
Do you have another child? *

Yes No

Child 3
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *
Do you have another child? *

Yes No

Child 4
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *
Do you have another child? *

Yes No

Child 5
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *
Do you have another child? *

Yes No

Child 6
Name *
Sex *
Date of Birth *

Month Day Year
Date
Catholic? *
Baptized? *
First Communion? *
Confirmed? *
Name & Address of Current School *

Ministerial Interest and Volunteer Information
Are you interested in helping or volunteering in any of the parish ministries or organizations.
Are you interested in helping or volunteering in any of the parish ministries or organizations. *

Should be Empty:

Additional Information