KCP Church Membership Form

KCP New Member Registration

If you have trouble filling out this form, please contact Megan at mknop@kaucp.org
Name*

First nameMiddle NameLast 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
Wife's Maiden Name*
Gender

MaleFemale
Date of birth

MonthDayYear
Date
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 are you wanting to join?*

St. Katherine DrexelHoly Cross
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
Dependents 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:
Dependents 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 (parents/individual) talents and/or gifts?*
Days and times available to meet about membership? (weekdays, weekends, etc)*
What times work best for you?*

8-1212-4eveningIm busy! Please call or email me!
Would you like to receive giving envelopes?*

yesnoI give/will give online
Should be Empty:

KCP New Member Registration