Parishioner Registration Form

Parishioner Registration Form

Please fill in the form below.
Please specify your church*

Holy GhostSt. Bernadette
Please specify your membership status*

New MemberExisting Member
Previous Parish
Previous Parish City/State
Most likely Mass to Attend

Saturday Evening, 5 p.m. (St. Bernadette)Sunday Morning, 9 a.m. (Holy Ghost)Sunday Morning, 11 a.m. (St. Bernadette)Weekdays at 7 a.m. or 8 a.m. (either location)
Head of Household
Full Name*

PrefixFirst NameMiddle NameLast Name
Nickname
If applicable
Maiden Name
If applicable
Marital Status*
Married in the Catholic Church?

YesNo
Anniversary Date

MonthDayYear
E-mail*
If none, type "none"
Home Phone
Please enter a valid phone number.
Cell Phone
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Occupation
If retired, prior primary occupation
Employer
Work Phone
Birth Date*

MonthDayYear
Mother's Maiden Name
Used to track Sacraments
Baptized?*

YesNo
As Catholic?*

YesNo
First Reconciliation?*

YesNo
First Eucharist?*

YesNo
Confirmation?*

YesNo
RCIA?

YesNo
Current Religion
What year?
About what year?
Spouse
Full Name

PrefixFirst NameMiddle NameLast Name
Nickname
If applicable
Maiden Name
If applicable
Cell Phone
E-mail
example@example.com
Occupation
If retired, prior primary occupation
Employer
Work Phone
Birth Date

MonthDayYear
Mother's Maiden Name
Used to track Sacraments
Baptized?

YesNo
As Catholic?

YesNo
First Reconciliation?

YesNo
First Eucharist?

YesNo
Confirmation?

YesNo
RCIA?

YesNo
Current Religion
What year?
About what year?
Children (Living at home)

Parish Directory Authorizations
Publish Phone Number?*

YesNo
Publish Address?*

YesNo
Publish Email?*

YesNo
Parish Communications

Our parish family uses FlockNote to communicate with parishioners. (Examples: emergency messages, important dates and times, etc.,)
Please include me in important parish communications through Flock Notes:*

Text MessageE-mailI do not wish to participate in this right now
Should be Empty:

Parishioner Registration Form

Head of Household

Spouse

Children (Living at home)

Involvement in the Church

Liturgical Ministries

Parish Directory Authorizations

Parish Communications