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 Resident
Winter Resident
Todays Date
*
-
Month
-
Day
Year
Date
Physical Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mailing Address if different from Physical Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Summer Mailing Address if you are a Winter Resident
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Head(s) of Household
Head of House Hold Name - 1
*
First Name
Last Name
Date of Birth - 1
*
-
Month
-
Day
Year
Date
Religion - 1
*
Phone Number - 1
*
Please enter a valid phone number.
Email - 1
*
example@example.com
Please check each Sacrament you received.
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Marriage in the Catholic Church
Head of Household Name - 2
First Name
Last Name
Date of Birth - 2
-
Month
-
Day
Year
Date
Religion - 2
Phone Number - 2
Please enter a valid phone number.
Email - 2
example@example.com
Please Check each Sacrament you Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Marriage in the Catholic Church
Present Marital Status
Present Marital Status
Single
Married in the Catholic Church
Married but not in the Catholic Church
Widowed
Living together
Date of Marriage in the Catholic Church
-
Month
-
Day
Year
Date
Catholic Church you were Married in
City
State
Children Information - (Please list only the children living at home)
Children
Please list only the children living with you.
Child's Name - 1
First Name
Last Name
Please enter M for Male or F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacraments Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Child's Name - 2
First Name
Last Name
Please enter M for Male, F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacrements Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Child's Name - 3
First Name
Last Name
Please enter M for Male, F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacraments Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Child's Name 4
First Name
Last Name
Please enter M for Male, F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacraments Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Child's Name - 5
First Name
Last Name
Please enter M for Male, F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacraments Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Child's Name - 6
First Name
Last Name
Please enter M for Male, F for Female
Date of Birth
-
Month
-
Day
Year
Date
Sacraments Received
Baptism
Holy Communion in the Catholic Church
Confirmation in the Catholic Church
Homebound | Stewardship | Sponsor Eligibility | Submit Form
Is there anyone in the household who is homebound?
*
No
Yes
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 Envelopes
Online / 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
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