Kaukauna Catholic Parish - Registration Updates
Are you currently registered at one of our parishes?
*
Yes, St. Katharine Drexel (includes St.Mary and St. Francis church sites)
Yes, Holy Cross
Not sure
No
Which Parish would you like to be registered at?
St. Katharine Drexel (includes St.Mary and St. Francis church sites)
Holy Cross
Not sure
Primary Contact Name
*
First name
Middle Name
Last Name
Birth Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Religion
*
Any areas you would be interested in being involved in at the parish?
Marital Status?
*
Single
Sacramental Marriage
Non-sacramental Marriage
Widowed
Divorced
Date and Location of Marriage
Yes or No
Spouse's name
First Name
Middle Name
Last Name
Spouse Birth Name
Date of birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Spouse Email
example@example.com
Spouse Phone Number
Please enter a valid phone number.
Spouse Religion
Any areas your spouse would be interested in being involved in at the parish?
Are you coming from another parish?
*
Yes
No
Name and location of parish
Are/Were your parents members of one of the Kaukauna Parishes?
Yes
No
Names of parents
This helps us link family records
Would you like to receive giving envelopes?
*
Yes
No
I give/will give online
Do you have dependents?
*
Yes
No
Dependent 1 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a second dependent to register?
Yes
No
Dependent 2 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a third dependent to register?
Yes
No
Dependent 3 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a fourth dependent to register?
Yes
No
Dependent 4 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a fifth dependent to register?
Yes
No
Dependent 5 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a sixth dependent to register?
Yes
No
Dependent 6 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Do you have a seventh dependent to register?
Yes
No
Dependent 7 name:
First Name
Middle Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Is there anything else you would like us to know or how we can best serve you?
Submit
Should be Empty: