St. Didacus Confidential Registration Form

St. Didacus Parish Confidential Registration Form
This information will be held in the strictest confidence for pastoral use only. If you have any questions regarding the form or special concerns, please email or call the Parish Office at 619-284-3472 or email: mainoffice@stdidacuschurch.org
FAMILY INFORMATION

Please include all and exact information to complete the registration process.
FAMILY NAME*
(Family's Last Name)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*
Please enter a valid phone number. (Cell Phone #)Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Email*
example@example.com
Secondary Email
example@example.com
Preferred Method of Contact (check all that may apply):

EmailPhone Number
Marital Status
Marital Status*

MarriedSingleSeparatedDivorcedWidowed/Widower
If MARRIED, did this marriage take place in the Catholic Church?

YesNo
Please provide NAME of CHURCH, if answered yes to the prior question.
Include City and State
WIFE'S MAIDEN NAME:

FAMILY INFORMATION
Please include all and exact information. Full Name and Date of Birth is mandatory for all members. If a question is not applicable to you, write in "N/A."
Head of Household *

First NameLast Name
Date of Birth*

MonthDayYear
Date
Religion*
Occupation OR School (provide grade)*
Ethnic Origin
Sex*
- Full Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Full Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Full Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Full Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Full Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Religion
- Occupation OR School (provide grade)
- Ethnic Origin
- Sex
- Notations (extra information or comments):
- Would you like to receive our Bi-Monthly Envelopes?*
  
  YesNo
- Would you like to receive our weekly email?*
  
  YesNo

Talents, Time, and Treasure
Our Parish depends on the support of it's members sharing their God-given time, talents, and treasure. Please indicate names of family members who wish to be involved in parish life.
Altar Server (Grades 4-12)
Choir Member/Musician
Faith Formation Helper
Youth Group Team
Lector
Sunday Usher
Bilingual Ministry
Eucharistic Minister
R.C.I.A. Team
Coffee & Doughnuts
Altar Society
"Fix It" Crew
Talents or interests you are willing to share with the Parish:
St. Didacus Parish

4772 Felton St.

San Diego, CA 92116

mainoffice@stdidacuschurch.org / 619-284-3472
Should be Empty:

St. Didacus Parish Confidential Registration Form