Parish Registration Form

Saint Matthew Catholic Church

Parish Registration Form
St. Matthew Catholic Church Parish Registration 1991 Overlook Dr. Winter Haven, FL 33884
Family Name*
Are you a Permanent Year Round Resident or a Winter Resident?*

Permanent ResidentWinter Resident
Todays Date*

MonthDayYear
Date
Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address if different from Physical Address

Street Address

Street Address Line 2

CityState

Zip Code
Summer Mailing Address if you are a Winter Resident

Street Address

Street Address Line 2

CityState

Zip Code
- Head of House Hold Name - 1*
  
  First NameLast Name
- Date of Birth - 1*
  
  MonthDayYear
  Date
- Religion - 1*
- Phone Number - 1*
  Please enter a valid phone number.Format: (000) 000-0000.
- Email - 1*
  example@example.com
- Please check each Sacrament you received.
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic ChurchMarriage in the Catholic Church
- Head of Household Name - 2
  
  First NameLast Name
- Date of Birth - 2
  
  MonthDayYear
  Date
- Religion - 2
- Phone Number - 2
  Please enter a valid phone number.Format: (000) 000-0000.
- Email - 2
  example@example.com
- Please Check each Sacrament you Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic ChurchMarriage in the Catholic Church
- Present Marital Status
  
  SingleMarried in the Catholic ChurchMarried but not in the Catholic ChurchWidowedLiving together
- Date of Marriage in the Catholic Church
  
  MonthDayYear
  Date
- Catholic Church you were Married in
- City
- State
- Children
  
  Please list only the children living with you.
- Child's Name - 1
  
  First NameLast Name
- Please enter M for Male or F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacraments Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Child's Name - 2
  
  First NameLast Name
- Please enter M for Male, F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacrements Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Child's Name - 3
  
  First NameLast Name
- Please enter M for Male, F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacraments Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Child's Name 4
  
  First NameLast Name
- Please enter M for Male, F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacraments Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Child's Name - 5
  
  First NameLast Name
- Please enter M for Male, F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacraments Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Child's Name - 6
  
  First NameLast Name
- Please enter M for Male, F for Female
- Date of Birth
  
  MonthDayYear
  Date
- Sacraments Received
  
  BaptismHoly Communion in the Catholic ChurchConfirmation in the Catholic Church
- Is there anyone in the household who is homebound?*
  
  NoYes
- Our parish finances depend on the generosity of all our parishioners. Please check the method you will be using for your contributions to the parish.*
  
  Church EnvelopesOnline / Electronic Funds Transfer
- As a newly registered parishioner of St. Matthew Catholic Church in Winter Haven, FI. I/We understand that it is not possible to receive a Godparent or Sponsor Eligibility Form signed by the pastor or a member of the pastoral team until I/we have been an active member of the parish for at least 6 months and attending Mass regularly during that time.*
  
  CHECK HERE
- Should be Empty:

Saint Matthew Catholic Church

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