SFX Parish Registration Form

Choose One:*

New RegistrationInformation Update

Marital Status*

Head of Household*

First NameMiddle NameLast Name

Head of Household Gender*

MaleFemale

Head of Household Email*

example@example.com

Head of Household Phone*

Please enter a valid phone number.Format: (000) 000-0000.

Head of Household Maiden Name*

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you want to receive weekly Offertory envelopes?*

YesNo

Birth Date*

Date

Occupation

Language (Primary/Others)*

Religion*

Has the Head of Household received any of the following sacraments?

BaptismFirst CommunionConfirmation

If the head of household has received any or all of those sacraments, please (to the best of your knowledge) list the date, and the name of the church, the church city and state, where the head of household received each sacrament.

If you can only remember the year, please put in 01/01/---- and the year you can remember.

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

Spouse*

First NameMiddle NameLast Name

Spouse Maiden Name*

First NameMiddle NameLast Name

Spouse Gender*

MaleFemale

Spouse Email*

example@example.com

Spouse Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Spouse Maiden Name*

Birth Date*

Date

Occupation

Language (Primary/Others)*

Religion*

Date of Spouse's Death

Date

Has the marriage been annulled by the Church and/or are you civilly divorced?

Has the spouse received any of the following sacraments?

BaptismFirst CommunionConfirmation

If the spouse has received any or all of those sacraments, please (to the best of your knowledge) list the date, and the name of the church, the church city and state, where the spouse received each sacrament.

If you can only remember the year, please put in 01/01/---- and the year you can remember.

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

Marriage Date*

Date

Name of Church*

Church City, State

Married by:

Roman Catholic PriestNon-Catholic MinisterJustice of the PeaceCommon Law

Do you, your spouse, or dependents have any specific gifts or talents that may be a great blessing to our parish? Or are you interested in any of our ministries? You can find our Liturgical Ministries by clicking HERE. You can also find a list of our parish ministries and organizations HERE. You can find information about our Ministry of Mercy HERE.

Please use the box below to list any gifts/talents or interest in any ministries.

Please list gifts/talents or ministries

Do you have dependent children?*

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

I have more dependent children.

YesNo

Name*

First NameMiddle NameLast Name

Birth Date*

Date

Language (Primary/Others)*

Gender*

MaleFemale

Baptized

Date

Name of Church

Church City, State

First Communion

Date

Name of Church

Church City, State

Confirmation

Date

Name of Church

Church City, State

If you have more dependent children than the available slots listed here, please include their names, birth dates, languages, gender, and sacramental information below.

St. Francis Xavier Catholic Parish Registration Form

Contact Information

Sacramental Information

Sacramental Information

Marital Information

Gifts & Talents

Dependent Information