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:
I am or will be the parent of an NCA student:

yesno
Areas of parish life I would be interested in learning more about:*

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?
PLEASE CHECK THIS BOX TO CONFIRM YOU WOULD LIKE TO AGREE TO BE A PARISHIONER OF ST. GERTRUDE CHICAGO. Office use only: ENV #: ______________ Form received (date/place):____________________ Directory __ Bulletin __ Envelopes __ Letter __ Email __ Gift box*

I agree.
Should be Empty: