KCP Church Membership Form

KCP New Member Registration
Member Name*

First nameMiddle NameLast Name
Birth Name
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Have you been baptized?*
If so, when and where?*
Have you had your first communion?*
If so, when and where?*
Have you been confirmed in the Catholic church?*
If so, when and where?*
2nd Member name

First NameMiddle NameLast Name
Birth Name
Date of birth

MonthDayYear
Date
Gender

MaleFemale
Have you been baptized?
If so when and where?
Have you had your first communion?
If so, when and where?
Have you been confirmed in the Catholic church?
If so, when and where?
Are you married? If so, when and where?*
Married in the Catholic Church?
Which Parish would you like to join?*

St. Katherine DrexelHoly CrossNot sure
Are you coming from another parish?*

YesNo
If so, which one?
Family religion?*
Family Email*
example@example.com
Family Phone Number*
Please enter a valid phone number.
Family Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dependent name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Present grade and school
Please list all sacraments, dates and where they received them here:
Dependent name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Present grade and school
Please list all sacraments, dates and where they received them here:
If you have more dependents, please list there names, ages and what grade and school they attend here and any sacraments they have recieved:
What are some of your and your family's talents and/or gifts?*
Days and times available to meet about membership? (weekdays, weekends, etc)*
What times work best for you to meet?*

8-1212-4EveningWeekendI'm busy! Let's meet virtually
Would you like to receive giving envelopes?*

YesNoI give/will give online
Should be Empty:

KCP New Member Registration