Office Use Only
Envelope/ID number
New Parishioner Registration
Name
*
Prefix
First
Last
Suffix
Maiden Name (if applicable)
Email
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
Date
Language Spoken
Secondary Language Spoken
Occupation
Religion
*
Please Select
Roman Catholic
Other (Specify)
Other Religion: Specify
Sacraments Received
Baptism
1st Communion
1st Reconcilliation
Confirmation
Marital Status
*
Single
Civil Marriage
Sacramental Marriage (married in the church)
Separated
Divorced
Widowed
Date and Place of Marriage
City / State
Spouse Name
*
Prefix
First
Last
Suffix
Maiden Name (if applicable)
Spouse Email
*
example@example.com
Spouse Phone Number
*
Spouse Birthdate
*
-
Month
-
Day
Year
Date
Spouse Language Spoken
Spouse Secondary Language Spoken
Spouse Occupation
Spouse Religion
Please Select
Roman Catholic
Other (Specify)
Other Religion: Specify
Spouse Sacraments Received
Baptism
1st Communion
1st Reconcilliation
Confirmation
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Next
Do you have any children living in the same household?
*
No
Yes ( when checked dropdown menu will appear)
Children
First Name
Last Name
Sex
Grade
School
Most Recent Sacrament Received
Birthdate
Child 1
Male
Female
Other
Baptized
1st Communion
Confirmed
Child 2
Male
Female
Other
Baptized
1st Communion
Confirmed
Child 3
Male
Female
Other
Baptized
1st Communion
Confirmed
Child 4
Male
Female
Other
Baptized
1st Communion
Confirmed
Child 5
Male
Female
Other
Baptized
1st Communion
Confirmed
Child 6
Male
Female
Other
Baptized
1st Communion
Confirmed
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Are you, or anyone in your family interested in receiving any of the following sacraments? Check all that apply
Baptism
1st Communion
1st Reconciliation
Confirmation
Adult Confirmation
OCIA (Order of Christian Initiation for Adults)
Holy Matrimony
Holy Orders
Anointing
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Next
Are you or anyone in your family interested in any of the following volunteer ministries? Check all that apply
Altar Server
Altar Server Committee
Children's Choir
Children's Liturgy of the Word
Choir
Deliver the Eucharist to the Homebound
Eucharistic Minister
Funeral Coordinator
Funeral Reception
Holy Family Servers
Lector
Knights of Columbus
Legion of Mary
Men's Basketball
Prayer Quilt
RCIA
Religious Education Catechist/ Aide
Religious Education Traffic Aide
Shuttle Drivers
St. Michael's Food Group
St. Michael's Men
St. Michael's Women
St. Michael's Young Adult
Usher
Wedding Coordinator
Witness To Love Marriage Prep
Women's Bible Study
Young Adult Choir
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Next
Sunday donations
*
I will enroll in online giving. I understand the paper envelopes for Sunday collections will not be mailed to me, but I will receive special donation envelopes.
Once you hit submit you will receive an email with a link to set up your online Sunday donations.
Submit
Should be Empty: