New Parishioner Registration | St. Philip Church
Welcome to St. Philip Church! Please fill out the form below to register as a parishioner.
Family Name
Month/Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Cell 1
Cell 2
Email Address 1
example@example.com
Email address 2
example@example.com
Would you like to sign up for Flocknote, the parish’s text and email communication platform? (For example, you will receive reminders about Holy Days and other parish events)
Yes
No
Adult Male/Husband
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
Occupation
Adult Female/Wife
Name
First Name
Last Name
Maiden Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
Occupation
Church & Place of Marriage
If you were not married before a Catholic Priest, was a dispensation granted by a Catholic bishop for the marriage?
Yes
No
If you did not receive a dispensation, was your marriage convalidated (blessed) by a priest at a later date?
Yes
No
If “No”, would you like to speak with the pastor to discuss having your marriage blessed?
Yes
Not at this time
Date of Marriage
-
Month
-
Day
Year
Date
Child 1
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
School (if applicable)
Child 2
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
School (if applicable)
Child 3
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
School (if applicable)
Child 4
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Religion
First Communion
Yes
No
Confirmation
Yes
No
School (if applicable)
Comments
Submit
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