St. Tom's Parish Membership Form

Parish Registration Form

535 Mitch Daniels Boulevard, West Lafayette, IN 47906
ABOUT YOU
Undergraduate student (pursuing an associate or bachelor's degree)Graduate student (pursuing a master's or doctoral degree)Resident (live in the area, but not attending Purdue University as a student)
YesNo
YesNo
YesNo
Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Email (If you are a student, please enter a non-Purdue email.)*
example@example.com
What is your anticipated graduation date?*
(i.e., spring 2027)
Mailing Address (If you are an undergraduate student, please enter your HOME address and NOT your campus address):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
Spouse's name*

First NameLast Name
Wife's maiden name, if applicable:
Spouse's date of birth*

MonthDayYear
Date
Spouse's phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Spouse's email*
example@example.com
Please note:

Adult children and other adults who live in your home who are older than 21 must register independently, even if they live at the same address.
YesNo
How many dependent children do you have?*
Child 1*
Child 1 date of birth*

MonthDayYear
Date
Child 1 gender*
Child 2*
Child 2 date of birth*

MonthDayYear
Date
Child 2 gender*
Child 3*
Child 3 date of birth*

MonthDayYear
Date
Child 3 gender*
Child 4*
Child 4 date of birth*

MonthDayYear
Date
Child 4 gender*
Child 5*
Child 5 date of birth*

MonthDayYear
Date
Child 5 gender*
Child 6*
Child 6 date of birth*

MonthDayYear
Date
Child 6 gender*
Child 7*
Child 7 date of birth*

MonthDayYear
Date
Child 7 gender*
Child 8*
Child 8 date of birth*

MonthDayYear
Date
Child 8 gender*
Child 9*
Child 9 date of birth*

MonthDayYear
Date
Child 9 gender*
Child 10*
Child 10 date of birth*

MonthDayYear
Date
Child 10 gender*
St. Thomas Aquinas offers both online and envelope-giving opportunities. To enroll in online giving, visit Faith Direct.
HOW CAN WE MAKE YOU FEEL WELCOME?
Do you have any questions about our parish that we could answer for you?
What are some of your talents and/or gifts that you hope to share with your new faith community at St. Thomas Aquinas?
Should be Empty:

Parish Registration Form

ABOUT YOU

Please note:

HOW CAN WE MAKE YOU FEEL WELCOME?