PARISHIONER REGISTRATION FORM
HEAD OF HOUSEHOLD – Adult #1
Name:
First Name
Middle Initial
Last Name
Maiden Name (if applicable):
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email:
example@example.com
Date of Birth:
-
Month
-
Day
Year
Date
Gender:
M
F
Religious Affiliation (Catholic, Non-Catholic, Seeking, Other):
Previous Parish (if applicable):
Previous Parish City/State:
MARITAL STATUS:
MARITAL STATUS OPTIONS:
Single
Married (Catholic)
Married (Other)
Civil Marriage
Widowed
Divorced
Annulled
College
Date of Marriage:
-
Month
-
Day
Year
Date
Parish/Location, City, & State of Marriage:
SACRAMENTS RECEIVED (Answer "When" and "Where" to Your Best Knowledge):
Baptism
First Communion
Confirmation
COMMENTS:
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SPOUSE – Adult #2 (If Applicable)
Name:
First Name
Middle Initial
Last Name
Maiden Name (if applicable):
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email:
example@example.com
Date of Birth:
-
Month
-
Day
Year
Date
Gender:
M
F
Religious Affiliation (Catholic, Non-Catholic, Seeking, Other):
Previous Parish (if applicable):
Previous Parish City/State:
SACRAMENTS RECEIVED (Answer "Place" and "Date" to Your Best Knowledge):
Baptism
First Communion
Confirmation
COMMENTS:
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DEPENDENTS (If Applicable)
DEPENDENT #1
First Name, Middle Initial
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender (M or F)
Sacraments Received (Sacrament, Place, Date)
DEPENDENT #2
First Name, Middle Initial
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender (M or F)
Sacraments Received (Sacrament, Place, Date)
DEPENDENT #3
First Name, Middle Initial
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender (M or F)
Sacraments Received (Sacrament, Place, Date)
DEPENDENT #4
First Name, Middle Initial
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Gender (M or F)
Sacraments Received (Sacrament, Place, Date)
COMMENTS (May list additional dependents if necessary):
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GIVING
Would you like to receive Sunday collection envelopes?
Yes
No
Would you like details about donating electronically through EFT?
Yes
No
PARISH POINTS
Would you like to receive twice-weekly email updates about parish events, last-minute announcements, volunteer opportunities, and more?
Yes
No
If so, what email would you like us to send it to?
COMMENTS:
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