St. Gertrude Chicago's Parish Registration Form

St. Gertrude Chicago's Parish Registration Form

All are Welcome!
Your first and last name*

First name - household member 1Last name -- household member 1
E-mail*
Household member #1 Faith/Occupation (if they are a student, please list the school)
If applicable, please list the first and last names of family member #2

First name - household member 2Last name -- household member 2
Household member #2: Please list Faith and Occupation (if they are a student, please list the school)
Household Member #2's Email
example@example.com
List names of children if applicable:
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell or home phone:
Format: (000) 000-0000.
yesno
Music: Choir, Cantor, InstrumentEucharistic Minister or LectorWelcome CommitteeChurch environment/decorSacristanSocial JusticeSenior outreachParish fundraising/stewardshipAdoptive familiesLQTBQ+Teen ProgramsCCD (Religious Ed for children)Info about our parish school, NCALiturgy Committee
Any special needs, gifts, skills, or abilities you would like to share with the parish?
I agree.
Should be Empty: