PARISHIONER REGISTRATION FORM
767 Prospect Street, Maplewood NJ, 07040 (973) 761-5933 www.sjcmaplewoodnj.org
Main Contact Information
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
E-mail
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
What is your gender?
*
What is your occupation?
*
Which sacraments have you already received?
*
Baptism
Communion
Confirmation
None
Do you need to receive any sacraments?
*
Yes
No
Which Mass do you usually attend on the weekends?
*
5:00 PM Saturday
9:00 AM Sunday
11:30 AM Sunday
Varies
Would you like to receive Offertory Envelopes?
*
Yes
No
Would you like to enroll in Online Giving?
*
Yes (register on our parish website: https://sjcmaplewoodnj.org)
No
Please add any additional information you would like to share.
Family Member
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
What is your gender?
What is your occupation?
Are you a student?
Yes
No
Which sacraments have you already received?
Baptism
Communion
Confirmation
None
Do you need to receive any sacraments?
Yes
No
Family Member
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
What is your gender?
What is your occupation?
Are you a student?
Yes
No
Which sacraments have you already received?
Baptism
Communion
Confirmation
None
Do you need to receive any sacraments?
Yes
No
Family Member
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
What is your gender?
What is your occupation?
Are you a student?
Yes
No
Which sacraments have you already received?
Baptism
Communion
Confirmation
None
Do you need to receive any sacraments?
Yes
No
Family Member
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
What is your gender?
What is your occupation?
Are you a student?
Yes
No
Which sacraments have you already received?
Baptism
Communion
Confirmation
None
Do you need to receive any sacraments?
Yes
No
Welcome to our Family of Faith!
Submit
Should be Empty: