St. Kilian Registration Form
Todays Date
*
-
Month
-
Day
Year
Date
Name (Man)
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Baptized
*
Yes
No
Yes, Non-Catholic
Religion
Occupation
Name (Woman)
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Baptized
*
Yes
No
Yes, Non-Catholic
Religion
Occupation
*
Wife Maiden Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Marital Status
*
Valid Catholic Church Marriage
Married/Not in Catholic Church
Never married
Widow(er)
Separated
Divorced
Type a question
Children at home and Sacraments received
First Name
Last Name
Male
Female
Date of Birth
Baptism
Confirmation
First Communion
First Name
Last Name
Male
Female
Date of Birth
Baptism
Confirmation
First Communion
First Name
Last Name
Male
Female
Date of Birth
Baptism
Confirmation
First Communion
First Name
Last Name
Male
Female
Date of Birth
Baptism
Confirmation
First Communion
First Name
Last Name
Male
Female
Date of Birth
Baptism
Confirmation
First Communion
Would you like to be informed about:
Becoming Catholic-RCIA (Right of Christian Initiation for Adults)
Baptism
Youth Religious Education
Teen Programs (Sky-Edge Youth Ministry)
Bible Studies
Music Ministries
Wedding Planning
Communion to the Homebound
Volunteer for : Fish Fry, Golf Tournament, Oktoberfest, Outreach, Hospitality
Additional Comments or Questions
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