Parish Registration Form
If any required field is not applicable, simply enter "n/a" to complete it.
Family Name
*
Previous Parish
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Primary Email
*
example@example.com
Please include this household in St. John's:
*
Mailing List
Email List
Parish Directory
None
Head of Household
*
Prefix
First Name
Middle Name
Last Name
Suffix
Maiden Name (If Applicable)
Nickname
Marital Status
*
Single
Married
Widowed
Separated
Divorced
Annulled
Date of Birth
*
-
Month
-
Day
Year
Religion
*
Occupation
*
Sacraments
*
Date
Church
City
State
Baptism
1st Communion
Confirmation
Marriage
Phone Number
*
Email
*
example@example.com
Click to add Spouse/Partner.
Spouse/Partner
Prefix
First Name
Middle Name
Last Name
Suffix
Maiden Name (If Applicable)
Nickname
Marital Status
Single
Married
Widowed
Separated
Divorced
Annulled
Date of Birth
-
Month
-
Day
Year
Religion
Occupation
Phone Number
Email
example@example.com
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Marriage
Click to add children.
Children
(Under 22 and living in the household.)
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Gender
Male
Female
Sacraments
Date
Church
City
State
Baptism
1st Communion
Confirmation
Submit
I'm interested in:
Greeting
Serving
Ushering
Lectoring
Eucharistic Ministry
Camera Operation
Social Action Committee
Parish Life Committee
Bereavement Committee
Youth Ministry
Young Adult Ministry
Music Ministry
PSR
School
Additional Information
Submit
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