Parish Registration Form
Please use full names for all members of the household (no initials or abbreviations; nicknames have their own field). Sacramental dates do not need to be exact; approximate or partial dates are acceptable. If a required field is not applicable or the information is unknown to you, simply enter "NA" or "?" to complete it.
Family Name
*
Previous Parish
*
Home Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Format: (000) 000-0000.
Primary Email
*
example@example.com
Please Include this household in St. John's Parish:
*
Mailing List
Email List
Directory
None
Head of Household
(Must be an adult, 18 or older.)
Head of Household Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Middle Name
Last Name
Suffix
Maiden Name
(If Applicable)
Nickname
Marital Status
*
Single
Engaged
Married, by a Catholic priest/deacon
Married, not by a Catholic priest/deacon
Widowed
Separated
Divorced
Date of Birth
*
-
Month
-
Day
Year
Occupation
*
Religion
*
Please Select
Catholic
Non-Catholic Christian
Other
None
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Sacraments Received
*
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Marriage
Yes
No
Click to Add Spouse/Partner.
Spouse/Partner
Spouse/Partner Name
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Middle Name
Last Name
Suffix
Maiden Name
(If Applicable)
Nickname
Marital Status
Single
Widowed
Engaged
Separated
Married
Divorced
Date of Birth
-
Month
-
Day
Year
Occupation
Religion
Please Select
Catholic
Non-Catholic Christian
Other
None
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Marriage
Yes
No
Click to add children.
Children
Include those who are under 22 years old AND still living in the household. Those over 22 years old must register separately as the adult head of their own household, regardless of where they are living.
1. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
2. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
3. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
4. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
5. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
6. Child Name
First Name
Middle Name
Last Name
Suffix
Nickname
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Sacraments Received
Rows
Received?
Date
Church
City
State
Baptism
Yes
No
1st Communion
Yes
No
Confirmation
Yes
No
Additional Information & Form Submission
We are interested in:
Altar Serving
Lectoring
Greeting
Ushering
Eucharistic Ministry
Music Ministry
Young Adult Ministry
Youth Ministry
Social Action Committee
Bereavement Committee
Parish Life Committee
PSR (Parish School of Religion)
School
Additional Information:
Submit
Should be Empty: