SCDA Parish Registration
Santa Clara de Asis, Yorba Linda
Type of Registration
New Parishioner
Update Parishioner Information
Family Name
Primary Email
example@example.com
Primary Phone Number
Please enter a valid phone number.
Address
Street Address
City
State / Province
Postal / Zip Code
Email
example@example.com
How would you like to give?
Online
Envelopes
N/A
How can SCDA help you? (e.g. Sacraments, parish involvement, volunteer opportunities, etc.)
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Adult #1 - Full Name
First Name
Last Name
Adult #1 - Email
example@example.com
Adult #1 - Date of Birth
-
Month
-
Day
Year
Date
Adult #1 - Phone Number
Please enter a valid phone number.
Adult #1 - Maiden Name
Adult #1 - Marital Status
Valid Catholic Church Marriage
Married, not in the Catholic Church
Separated
Divorced
Never Married
Widowed
None of the above
Adult #1 - Religion
Please select all that apply:
Baptized Catholic
Baptized (not in the Catholic faith)
Sacrament of Eucharist
Sacrament of Confirmation
Interested in becoming Catholic
Adult #1 - Occupation
Do you have another adult to register?
Yes
No
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Adult #2 - Full Name
First Name
Last Name
Adult #2 - Maiden Name
Adult # 2 - Email
example@example.com
Adult #2 - Date of Birth
-
Month
-
Day
Year
Date
Adult # 2 - Phone Number
Please enter a valid phone number.
Adult #2 - Religion
Adult # 2 - Marital Status
Valid Catholic Church Marriage
Married, not in the Catholic Church
Separated
Divorced
Never married
Widowed
None of the above
Please select all that apply:
Baptized Catholic
Baptized (not in the Catholic faith)
Sacrament of Eucharist
Sacrament of Confirmation
Interested in becoming Catholic
Adult #2 - Occupation
Do you have another adult to register?
Yes
No
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Next
Adult #3 - Full Name
First Name
Last Name
Adult #3 - Maiden Name
Adult # 3 - Email
example@example.com
Adult # 3 - Date of Birth
-
Month
-
Day
Year
Date
Adult # 3 - Phone Number
Please enter a valid phone number.
Adult #3 - Religion
Adult #3 - Marital Status
Valid Catholic Church Marriage
Married, not in the Catholic Church
Separated
Divorced
Never married
Widowed
None of the above
Please select all that apply:
Baptized Catholic
Baptized (not in the Catholic faith)
Sacrament of Eucharist
Sacrament of Confirmation
Interested in becoming Catholic
Adult #3 - Occupation
Do you have another adult to register?
Yes
No
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Do you have any children in your parish registration?
Yes
No
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Child # 1 - Full Name
First Name
Last Name
Child #1 - Date of Birth
-
Month
-
Day
Year
Date
Child #1 - School Grade
Please Select
Infant
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Attends College
Please select all the Sacraments that apply for this child:
Baptized Catholic
Baptized (not in the Catholic faith)
Eucharist
Confirmation
None
Do you have another child to register?
Yes
No
Back
Next
Child # 2 - Full Name
First Name
Last Name
Child # 2 - Date of Birth
-
Month
-
Day
Year
Date
Child #2 - School Grade
Please Select
Infant
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Attends College
Please select all the Sacraments that apply for this child:
Baptized Catholic
Baptized (not in the Catholic faith)
Eucharist
Confirmation
None
Do you have another child to register?
Yes
No
Back
Next
Child # 3 - Full Name
First Name
Last Name
Child # 3 - Date of Birth
-
Month
-
Day
Year
Date
Child #3 - School Grade
Please Select
Infant
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Attends College
Please select all the Sacraments that apply for this child:
Baptized Catholic
Baptized (not in the Catholic faith)
Eucharist
Confirmation
None
Do you have another child to register?
Yes
No
Back
Next
Child # 4 - Full Name
First Name
Last Name
Child # 4 - Date of Birth
-
Month
-
Day
Year
Date
Child #4 - School Grade
Please Select
Infant
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Attends College
Please select all the Sacraments that apply for this child:
Baptized Catholic
Baptized (not in the Catholic faith)
Eucharist
Confirmation
None
Do you have another child to register?
Yes
No
Back
Next
Child # 5 - Full Name
First Name
Last Name
Child # 5 - Date of Birth
-
Month
-
Day
Year
Date
Child #5 - School Grade
Please Select
Infant
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Attends College
Please select all the Sacraments that apply for this child:
Baptized Catholic
Baptized (not in the Catholic faith)
Eucharist
Confirmation
None
Do you have another child to register?
Yes
No
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Next
Welcome to the SCDA family! We would love for you to participate in our community. Are you interested in receiving information about our ministries?
*
Yes
No
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Thank you so much for making SCDA your home!
If you would like to receive information about our ministries, our team will reach out to you shortly.
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