Member Registration Form

Parish Registration
In the top portion, you will enter the information for the family. Please use the phone number and email address that you would like to be used to contact you for parish functions or information. This will be the information listed in any directory that we may publish.

Fill in the information for each individual family member in the table below.

If you have any questions, please contact the rectory at 314-351-1318 ext. 201
Family Name*
Main Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address
Language Spoken at Home
I would like to receive offertory envelopes*

Family Members*

	Relationship	First and Last Name	Religion	Date of Birth	Gender	Cell Phone Number	Email Address	Baptized	Date of Baptism	Confirmed	Date of Confirmation	Married	Mariied in the Catholic Church
1
2
3
4
5
6
7
8
9
10

Parish Registration