PARISH REGISTRATION

PARISH REGISTRATION

Welcome to Holy Redeemer Catholic Church! The registration information you provide is private and is only viewed by authorized staff. Please note that it is important to keep your family information updated.
FAMILY INFORMATION
Today's Date

MonthDayYear
Date
Are you:
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Interested in online giving? Please visit our website at hredeemer.org and click on the “Donate Now” button.
Do you wish to receive personalized offertory envelopes? (Please allow 2-3 weeks for delivery to your home address)
MALE/ HUSBAND/ HEAD OF HOUSEHOLD
Name of male/ husband/ head of household:

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Language Preferred:

Other
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Type a question
Your religion
Occupation
What sacraments have you received?:
FEMALE/WIFE/HEAD OF HOUSEHOLD
Name

Full Legal NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Other
Phone
Format: (000) 000-0000.
Email
example@example.com
Your religion
Occupation
What sacraments have you received?:
ADDITIONAL HOUSEHOLD MEMBERS
Please list below the additional family members currently residing in your household. If there are multiple families in your household, register each family on a separate form. Adult children (25+) should register separately (unless they are students or have special needs

What sacraments have you received?

OFFICE USE ONLY: Date registered in Database:
Date registered in Database

MonthDayYear
Date
Parishioner/Envelope #
Registered by
Should be Empty:

PARISH REGISTRATION

FAMILY INFORMATION

MALE/ HUSBAND/ HEAD OF HOUSEHOLD

FEMALE/WIFE/HEAD OF HOUSEHOLD

ADDITIONAL HOUSEHOLD MEMBERS