SAINT LUKE PARISH REGISTRATION FORM
REGISTRATION DATE:
FAMILY LAST NAME:
Is any family member a previous member of St. Luke?
Yes
No
If so, what is their name?
HOME ADDRESS:
Street Address
Street Address Line 2
Address / City
State / Province
Postal / Zip Code
I/we want to fulfill financial stewardship:
Online
Envelopes
For Special Collections, I want to give:
Online
Envelopes
MALE HEAD OF HOUSEHOLD
Name:
First Name
Middle Initial
Last Name
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email Address:
example@example.com
Birthdate:
-
Month
-
Day
Year
Date
Marital Status:
Single
Married
Separated
Divorced
Widowed
If married, did you have a Catholic wedding?
Or was your marriage blessed by a Priest?
Religion:
Former Church:
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
FEMALE HEAD OF HOUSEHOLD
Name:
First Name
Middle Initial
Last Name
Home Phone:
Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email Address:
example@example.com
Birthdate:
-
Month
-
Day
Year
Date
Marital Status:
Single
Married
Separated
Divorced
Widowed
If married, did you have a Catholic wedding?
Or was your marriage blessed by a Priest?
Religion:
Former Church:
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
OTHERS LIVING IN THE HOUSEHOLD
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
Name:
First Name
Middle Initial
Last Name
Birthdate:
-
Month
-
Day
Year
Date
Cell Phone/Email:
Religion:
Gender:
Male
Female
Sacraments Received:
Baptism
Penance
1st Communion
Confirmation
Place of Baptism (Parish, City, State):
School Attended/Attending:
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