New Parishioner Registration Form
Once we receive your registration form, we will welcome you to Saint Hedwig with open arms and provide you with a Saint Hedwig Welcome Packet!
Head of Household Information
Head of Household
Please fill information to the best of your ability.
Head of Household Name
*
First Name
Last Name
Gender
*
Male
Female
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
Marital Status
*
Please Select
None
Church Marriage
Civil Marriage
Divorced
Single
Widowed
If Married: Church and City
Marriage Date
-
Month
-
Day
Year
Date
Religion
*
Catholic
Other
Cell Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Work Phone
If Applicable
Employer
If Applicable
Occupation
If Applicable
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Do You Have a Second Adult in Your Household?
*
Yes
No
Do You Have a Child?
*
Yes
No
Co-Head Information
Co-Head Name
*
First Name
Last Name
Gender
*
Male
Female
Marital Status
*
Same as Head of Household
Single
Widowed
None
Religion
*
Catholic
Other
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Work Phone
If Applicable
Employer
If Applicable
Occupation
If Applicable
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Children
(Family members 23 and older are encouraged to register as independent adults)
Child (1) Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
School Attending
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Have Another Child?
*
Yes
No
Child 2
Child (2) Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
School Attending
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Have Another Child?
*
Yes
No
Child 3
Child (3) Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
School Attending
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Have Another Child?
*
Yes
No
Child 4
Child (4) Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
School Attending
Sacraments Received
Received
Date
City
Church
Baptism
First Communion
Confirmation
Have Another Child?
*
Yes
No
Other Information
I would like to receive monthly envelopes
*
Yes
No
I would like to Give Online instead
*
Yes
No
I would like my name to appear on the Weekly Bulletin as New Parishioners
*
Yes
No
I would like to receive a Welcome Tote bag
*
Yes
No
I would like to receive information about Parish Ministries
*
Yes
No
I would like to be added to the parish eNewsletter
*
Yes
No
It is common practice for Saint Hedwig Catholic Church to use photographs on our parish website and in parish publications. I give my consent for my child(ren) listed on this form to be photographed with the understanding photos may be used in parish publications including on the website.
*
Yes
No
Submit
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