Adobe FormsCentral

St. Pius X Catholic Church Registration Form

Directions: This form may be used to register as a new parishioner to our parish or to update your information as an existing parishioner.
Date

MonthDayYear
Date
1051 Waggoner Road Reynoldsburg, OH 43068-9704Phone: 614-866-2859stpiusx@spxreynoldsburg.com
Type
FAMILY NAME (LAST NAME)
ADDRESS
City
State
ZIP + 4
Email:
Phone
PERSONAL INFORMATION
MALE ADULT - FIRST NAME
MI
DATE OF BIRTH

MonthDayYear
Date
RELIGION
BAPTISM
1st COMM.
CONFIRMATION
EMPLOYER
OCCUPATION
WORK PHONE
CELL PHONE
FEMALE ADULT - FIRST NAME
MI
DATE OF BIRTH

MonthDayYear
Date
RELIGION
BAPTISM
1st COMM.
MAIDEN NAME
CONFIRMATION
EMPLOYER
OCCUPATION
WORK PHONE
CELL PHONE
CURRENT MARITAL STATUS
Check One:
SINGLE
CHURCH MARRIAGE (Sacramental Catholic Marriage)
CIVIL MARRIAGE
DIVORCED
WIDOWED
DATE OF MARRIAGE

MonthDayYear
Date
PLACE of MARRIAGE (parish, church, court house, etc.)
City
State

St. Pius X Catholic Church Registration Form