KCP New Member Registration
Holy Cross and St. Katharine Drexel Parishes
Which Parish would you like to be registered at?
*
St. Katharine Drexel (includes the St. Mary and St. Francis church sites)
Holy Cross
Not sure
Name
*
First name
Middle Name
Last Name
Birth Name (if applicable)
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Religion?
*
Have you been baptized?
*
Please Select
yes
no
unknown
When and where?
*
An approximate date is accepted
Have you received the sacrament of First Eucharist (Communion)?
Please Select
yes
no
unknown
When and where?
An approximate date is accepted
Have you been confirmed in the Catholic church?
Please Select
yes
no
unknown
When and where?
An approximate date is accepted
Are you married?
*
Yes
No
Widowed
Married in the Catholic Church?
Please Select
yes
no
Date, location, and officiant
Spouse's name
First Name
Middle Name
Last Name
Spouse Birth Name (if applicable)
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Religion?
Has your spouse been baptized?
Please Select
yes
no
unknown
Spouse Baptism Date and Location
An approximate date is accepted
Has your spouse had the sacrament of First Eucharist (Communion)?
Please Select
yes
no
unknown
Spouse 1st Eucharist Date and Location
An approximate date is accepted
Has your spouse been confirmed in the Catholic church?
Please Select
yes
no
unknown
Spouse Confirmation Date and Location
An approximate date is accepted
Are you coming from another parish?
*
Yes
No
Previous Parish name and location
Are/Were your parents registered at one of the Kaukauna Parishes?
Yes
No
Names of parents and parish
This helps us link family records
Would you like to receive giving envelopes?
*
Yes
No
I give/will give online
Any areas you would be interested in being involved in at the Parish?
*
Examples: Men's Ministry, Women's Ministry, Social Concerns, Bible Studies, Teaching children, Worship help, etc.
Any talents you would like to share with us?
*
Examples: Baking, painting, organized, eye for design, musically gifted, computer savvy, etc.
Do you have dependents?
*
Yes
No
Dependent 1 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Current grade and school
Please list any sacraments received and the dates/locations:
Approximate dates are accepted
Do you have a second dependent to register?
Yes
No
Dependent 2 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Present grade and school
Please list any sacraments received and the dates/locations:
Do you have a third dependent to register?
Yes
No
Dependent 3 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Please list any sacraments received and the dates/locations:
Do you have a fourth dependent to register?
Yes
No
Dependent 4 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Please list any sacraments received and the dates/locations:
Do you have a fifth dependent to register?
Yes
No
Dependent 5 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Please list any sacraments received and the dates/locations:
Do you have a sixth dependent to register?
Yes
No
Dependent 6 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Please list any sacraments received and the dates/locations:
Do you have a seventh dependent to register?
Yes
No
Dependent 7 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Please list any sacraments received and the dates/locations:
Old: If you have more dependents, please list there names, ages and what grade and school they attend here and any sacraments they have recieved:
If you have more dependents, please list their names, ages and sacraments they have received in the box below:
Old: Days and times available to meet about membership? (weekdays, weekends, etc)
What time(s) work best for you to meet with a member of our welcoming committee?
*
Morning
Afternoon
Evening
Weekend
I'm busy! Let's meet virtually
Is there anything else you would like us to know or how we can best serve you?
*
Submit
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