Parish Information Form

Parishioner Information Form

Northern Illawarra Catholic Parishes
About your household
Family Name*
- If another person lives with you but is not related, (eg friend or border) they should complete their own form.
- If another person lives with you, such as a parent or grandparent or sibling, they should complete their own form.
- If your child over 18 lives with you and is involved in the parish, they should complete their own form.
- If your child over 18 lives with you but is not involved with the church, please include them below.
How many adults live in your household?

One - meTwo
Address*

Street Address

SuburbState

Post Code
Person 1
Person 1 - Full Name*

First NameLast Name
Person 1 - Any previous names?
eg Maiden name
Person 1 - Religion*
Person 1 - Sex*

MaleFemaleOther
Person 1 - Marital Status*

Catholic MarriageChristian / Civil MarriageDe facto relationshipSingle - never marriedWidow/WidowerSeparated / Divorced
Person 1 - Occupation*
Person 1 - Contact Number*
Please enter a valid 10 digit phone number, including area code.
Person 1 - Email*
Person 1 - Any involvement in Parish Ministry?*
Person 1 - Parish Connections - tick any that apply

Please send me information about Parish Planned GivingI would like to receive the Parish Bulletin by emailI would like to know more about being involved in the parishI would like to know more about Jesus and the Catholic Faith
Person 2
Relationship to Person 1*

Spouse / PartnerSibling - please complete own formFriend - please complete own formChild of / Parent of - please complete own formNot related - please complete own form
Person 2 - Full Name*

First NameLast Name
Person 2 - Any previous names?
eg Maiden name
Person 2 - Religion*
Person 2 - Sex*

MaleFemaleOther
Person 2 - Marital Status*

Catholic MarriageChristian / Civil MarriageDe facto relationshipSingle - never marriedWidow/WidowerSeparated / Divorced
Person 2 - Occupation*
Person 2 - Contact Number*
Please enter a valid phone number.
Person 2 - Email*
Person 2 - Any involvement in Parish Ministry?
Person 2 - Parish Connections - tick any that apply

Please send me information about Parish Planned GivingI would like to receive the Parish Bulletin by emailI would like to know more about being involved in the parishI would like to know more about Jesus and the Catholic Faith
About your relationship
Church or Place where married:
Please include the name of the church/place
Town/Suburb of Marriage
Date of Marriage

DayMonthYear
Date
Date of Death of your partner

DayMonthYear
Date
Date of Separation or Divorce

DayMonthYear
Date
Which church do you most often attend?*

St Joseph's, BulliSt Columbkille's, CorrimalSt Michael's, ThirroulHoly Cross, Helensburgh

Children living with you:

	Name	Birthdate	Birthplace	Baptism	Eucharist	Confirmation	School/Grade
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6

Collection Notice and Privacy Policy

The Parish Collection Notice and Privacy Policy is available to view here and to download here.
Privacy Policy*

Yes, I have read and agree to the parish Privacy Policy and Collection Notice.
Should be Empty:

Parishioner Information Form

About your household

Person 1

Person 2

About your relationship