KCP Church Membership Form

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 CrossNot sure
Name*

First nameMiddle NameLast Name
Birth Name (if applicable)
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / 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?*
When and where?*
An approximate date is accepted
Have you received the sacrament of First Eucharist (Communion)?
When and where?
An approximate date is accepted
Have you been confirmed in the Catholic church?
When and where?
An approximate date is accepted
Are you married?*

YesNoWidowed
Married in the Catholic Church?
Date, location, and officiant
Spouse's name

First NameMiddle NameLast Name
Spouse Birth Name (if applicable)
Date of birth

MonthDayYear
Date
Gender

MaleFemale
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Religion?
Has your spouse been baptized?
Spouse Baptism Date and Location
An approximate date is accepted
Has your spouse had the sacrament of First Eucharist (Communion)?
Spouse 1st Eucharist Date and Location
An approximate date is accepted
Has your spouse been confirmed in the Catholic church?
Spouse Confirmation Date and Location
An approximate date is accepted
Are you coming from another parish?*

YesNo
Previous Parish name and location
Are/Were your parents registered at one of the Kaukauna Parishes?

YesNo
Names of parents and parish
This helps us link family records
Would you like to receive giving envelopes?*

YesNoI 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?*

YesNo
Dependent 1 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
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?

YesNo
Dependent 2 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Present grade and school
Please list any sacraments received and the dates/locations:
Do you have a third dependent to register?

YesNo
Dependent 3 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Please list any sacraments received and the dates/locations:
Do you have a fourth dependent to register?

YesNo
Dependent 4 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Please list any sacraments received and the dates/locations:
Do you have a fifth dependent to register?

YesNo
Dependent 5 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Please list any sacraments received and the dates/locations:
Do you have a sixth dependent to register?

YesNo
Dependent 6 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
Date
Please list any sacraments received and the dates/locations:
Do you have a seventh dependent to register?

YesNo
Dependent 7 name:

First NameMiddle NameLast Name
Date of birth

MonthDayYear
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?*

MorningAfternoonEveningWeekendI'm busy! Let's meet virtually
Is there anything else you would like us to know or how we can best serve you?*
Should be Empty:

KCP New Member Registration