Parish Registration

Saint Theresa Catholic Church

1107 Commercial Way ~ Spring Hill, FL 34606 ~ 352-683-2849
Parishioner Registration

Registro de Feligres
Name (Nombre)

First NameLast Name
Address (Dirección)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a Part-time Resident

YesNo
If Part-Time Resident from when to when? Add Dates
Summer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number (Teléfono Celular)
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Emergency Contact Name & Relationship
Emergency Phone Number
Please enter a valid phone number.
Birth Date (Fecha de Nacimiento)
Gender (Genero)

Male (Barón)Female (Hembra)
Religion (Religión)
What is your marital status? ¿Cual es su estado de matrimonio?

Single (Soltero/a)Married (Casado/a)Widow/Widower (Viuda/Viudo)Separated (Separado/a)Divorced (Divorciado/a)Divorced & Remarried (Divorciado y Casado de Nuevo)
Is your current marriage in the Church?

YesNo
Sacraments you have received:

BaptismConfessionHoly CommunionConfirmationMarriage
Occupation (Ocupación)
Name of Spouse (Nombre the Esposo/Esposa)

First NameLast Name
Cell Phone Number (Teléfono Celular)
Please enter a valid phone number.
Email
example@example.com
Birth Date (Fecha de Nacimiento)
Gender (Genero)

Male (Barón)Female (Hembra)
Religion (Religión)
What is your marital status? ¿Cual es su estado de matrimonio?

Single (Soltero/a)Married (Casado/a)Widow/Widower (Viuda/Viudo)Separated (Separado/a)Divorced (Divorciado/a)Divorced & Remarried (Divorciado y Casado de Nuevo)
Is your current marriage in the Church?

YesNo
Sacraments you have received:

BaptismConfessionHoly CommunionConfirmationMarriage
Occupation (Ocupación)
Children/Adults in Household
Name First Name   Last Name
Relationship
Religion
Gender    Male    Female
Date of Birth   Date
Sacraments Received    Baptism   First Communion   Confirmation
Name First Name   Last Name
Relationship
Religion
Gender    Male    Female
Date of Birth   Date
Sacraments Received    Baptism   First Communion   Confirmation
Name First Name   Last Name
Relationship
Religion
Gender    Male    Female
Date of Birth   Date
Sacraments Received    Baptism   First Communion   Confirmation
Name First Name   Last Name
Relationship
Religion
Gender    Male    Female
Date of Birth   Date
Sacraments Received    Baptism   First Communion   Confirmation
Name First Name   Last Name
Relationship
Religion
Gender    Male    Female
Date of Birth   Date
Sacraments Received    Baptism   First Communion   Confirmation
How can we serve you?
Do you need information or assistance? (Choose all that apply)

Faith Formation for Children (Formación de Fe para Niños)Youth Ministry (Ministerio de Jóvenes)RCIA (Sacraments for Adults) / RICA (Sacramentos para Adultos)Sacraments for Children (Sacramentos para Niños)Marriage (Matrimonio)Annulment
How would you like to be involved?
Would you live to serve / volunteer in the Liturgy?

Adult Altar ServersYouth Altar ServersSacristanLectorsUshersEucharistic MinistersMusic Ministry
Would you live to serve / volunteer in the Faith Formation Ministry?

Teacher (Catechist)Class AssistantRCIAAdult Faith FormationBible StudyYouth Group
Would you live to participate in the Prayer Groups?

Legion of Mary (English)Legion of Mary (Spanish)AdorationDismas SocietyCharismatic Group (English)Charismatic Group (Spanish)
Would you live to participate / learn more about or serve in other Ministries?

St. Vincent de PaulHelping HandsHappy HeartsVocation CommitteeRespect LifeTraveling ChaliceEucharistic Minister to the Homebound
Would you live to participate / learn more about our Organizations and Groups?

Knights of ColumbusColumbiettesAncient Order of HiberniansLadies Ancient Order of HiberniansSons & Daughters of ItalyReligious Goods StoreSecular Order of FranciscansMoney CountersBulletin StuffersRosary MakersHospitality
Are there skills, talents, experience or knowledge you would like to share? (Please provide resources you may have to offer.
Should be Empty:

Saint Theresa Catholic Church

Parishioner Registration

Children/Adults in Household

How can we serve you?

How would you like to be involved?