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
*
Format: (000) 000-0000.
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!
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