Registration Form

Saint Catherine Laboure Church Registration Form

Please fill in as much information as you can. When finished you can either submit the form electronically or print it an bring it to the Parish Office. A member of our staff will contact you as soon as possible.
- Head of Household Full Name*
  
  First NameLast Name
- Mailing (Primary) Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Home Phone*
  
  Area CodePhone Number
- E-mail (home)
- E-mail (work)
- Cellphone
  
  Area CodePhone Number
- Birth Date
  
  MonthDayYear
- Gender
  
  MaleFemale
- Place of Birth
- Occupation
- Place of Employment
- Education
  
  High SchoolCollege DegreeSome Graduate StudiesGraduate DegreeOther
- Father's name
- Mother's Name
- Maiden Name (if applicable)
- Language Spoken at Home
- Sacramental Information
- Baptism
  
  CatholicOther ReligionNo
- Date of Baptism (if known)
- Marital Status
  
  MarriedSingleDivorceSeparatedWidowed
- Preferred method of contact
- Best time to contact you
- Maiden Name (if applicable)
- When were you married?
- Were you married in a Catholic Church?
  
  YesNo
- If yes, please give the name, city and state of the church
- If no, where were you married?
- Baptized Catholic
  
  yesnoInterested in becoming Catholic
- Would you like to be contacted by a priest?
  
  YesNo
- Name
  
  First NameLast Name
- Physical Address, if different
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Gender
  
  MaleFemale
- E-mail
- Status
  
  SpouseRelativeOther
- Cellphone
  
  Area CodePhone Number
- Birth Date
  
  MonthDayYear
- Baptized Catholic
  
  YesNoInterested in Becoming Catholic
- Please only list children under 24, physically residing with you.
- Oldest Child Full Name
  
  First NameLast Name
- Gender
  
  MaleFemale
- Birth Date
  
  MonthDayYear
- Grade in School
- School Attending (or homeschool)
- Baptized?
  
  YesNoInterested in being Baptized
- Date of Baptism (if known)
  
  MonthDayYear
- Name and address of Parish
- Sacraments
  
  PenanceFirst CommunionConfirmation
- Name and address of Parish (if different)
- Child #2 Full Name
  
  First NameLast Name
- Gender
  
  MaleFemale
- Birth Date
  
  MonthDayYear
- Grade in School
- School Attending (or homeschool)
- Baptized?
  
  YesNoInterested in being Baptized
- Date of Baptism (if known)
  
  MonthDayYear
- Name and Address of Parish
- Sacraments
  
  PenanceFirst CommunionConfirmation
- Name and Address of Parish (if different)
- Please list any additional children in your household.
- Child #3 Full Name
  
  First NameLast Name
- Gender
  
  MaleFemale
- Birth Date
  
  MonthDayYear
- Child #4 Full Name
  
  First NameLast Name
- Gender
  
  MaleFemale
- Birth Date
  
  MonthDayYear
- Child #5 Full Name
  
  First NameLast Name
- Gender
  
  MaleFemale
- Birth Date
  
  MonthDayYear
- Would you like to be contacted about our Religious Education Program?
  
  YesNoI wish to have information about Saint Catherine Laboure School
- Is there any other information you think we should know before we contact you?
- Would you like to receive our parish eNewsletter?
  
  YesNo
- Should be Empty:

Saint Catherine Laboure Church Registration Form

Sacramental Information