Holy Trinity Catholic Church Registration Form

Holy Trinity Catholic Church Registration Form
Family Information
Date of Registration
Previous Parish
Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Household Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Family Members

(as applicable)
Male/Husband:
Name (First, Middle, Last)
Birth Date

MonthDayYear
Religion
Catholic, Lutheran, etc. (please specify)
Languages Spoken (In Addition to English)
Sacraments Received
Preferred E-mail
Cell Phone Number

Area CodePhone Number
Occupation
Place of Employment
Work Phone

Area CodePhone Number
Female/Wife:
Name (First, Middle, Last)
Birth Date

MonthDayYear
Religion
Catholic, Lutheran, etc. (please specify)
Languages Spoken (In Addition to English)
Sacraments Received
Preferred E-mail
Cell Phone Number

Area CodePhone Number
Occupation
Place of Employment
Work Phone

Area CodePhone Number
____________________________________________________________________________
Marital Status
____________________________________________________________________________
Children Living At Home
Child's Name (First, Middle, Last)
Son/Daughter (M/F)
Birth Date

MonthDayYear
Grade
School Attending
Sacraments Received
2___________________________________________________
Child's Name (First, Middle, Last)
Son/Daughter (M/F)
Birth Date

MonthDayYear
Grade
School Attending
Sacraments Received
3___________________________________________________
Child's Name (First, Middle, Last)
Son/Daughter (M/F)
Birth Date

MonthDayYear
Grade
School Attending
Sacraments Received
4___________________________________________________
Child's Name (First, Middle, Last)
Son/Daughter (M/F)
Birth Date

MonthDayYear
Grade
School Attending
Sacraments Received
5___________________________________________________
Child's Name (First, Middle, Last)
Son/Daughter (M/F)
Birth Date

MonthDayYear
Grade
School Attending
Sacraments Received
___________________________________________________
Parish Involvement/Stewardship Interests
I am interested in the following (check all that apply):
Other Notes/Additional Information
Please verify that you are human
Should be Empty:

Holy Trinity Catholic Church Registration Form

Family Information

Family Members

Children Living At Home

Parish Involvement/Stewardship Interests