Parish Registration Form

Holy Family Parish Registration Form
DATE REGISTERED:*

MonthDayYear
LAST NAME:*
MAILING ADDRESS:*
CITY / ZIP CODE:*
Contact Phone Number:*

Area CodePhone Number
HOME:

Area CodePhone Number
CELL:

Area CodePhone Number
EMAIL ADDRESS:
DO YOU WISH TO RECEIVE THE CHURCH CONTRIBUTION ENVELOPES?

YESNO
DO YOU WISH TO CONTRIBUTE TO YOUR PARISH BY e-GIVING? If Yes, please click on the HOME button of the website after you have completed this form. It will take you to the link to Faith Direct.

YESNO
HEAD OF HOUSEHOLD

Please use proper names when completing the form.
FIRST NAME:
MIDDLE NAME:
LAST NAME:
TITLE:

MR.MRS.MS.DR.Miss
MARITAL STATUS:

MARRIED IN THE CATHOHLIC CHURCHCIVIL MARRAIGESINGLEWIDOWEDSEPARATEDDIVORCED
DATE MARRIED:

MonthDayYear
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITHHOLY MATRIMONY (married in the Catholic Church)
OCCUPATION:
HIGHEST LEVEL OF EDUCATION:
GENDER:

MALEFEMALE
DATE OF BIRTH:

MonthDayYear
LANGUAGES SPOKEN:
Spouse Information
FIRST NAME:
MIDDLE NAME:
MAIDEN NAME:
EMAIL ADDRESS
example@example.com
CELL

Area CodePhone Number
HOME

Area CodePhone Number
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITHHOLY MATRIMONY (married in the Catholic Church)
OCCUPATION:
HIGHEST LEVEL OF EDUCATION:
GENDER:

MALEFEMALE
DATE OF BIRTH:

MonthDayYear
LANGUAGES SPOKEN:
Please include children age 18 and younger. Children age 19 and older should register under their own name.

Type children's names as listed on their birth certificate.
CHILD #1 FIRST NAME:
MIDDLE NAME:
LAST NAME:
If different than parent
DATE of BIRTH

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
CHILD #2 FIRST NAME:
MIDDLE NAME:
LAST NAME:
If different than parent
DATE of BIRTH

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
CHILD #3 FIRST NAME:
MIDDLE NAME:
LAST NAME:
If different than parent
DATE of BIRTH

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
CHILD #4 FIRST NAME:
MIDDLE NAME:
LAST NAME
If different than parent
DATE of BIRTH

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
CHILD #5 FIRST NAME:
MIDDLE NAME:
LAST NAME
If different than parent
DATE of BIRTH

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED:

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
CHILD #6 FIRST NAME:
MIDDLE NAME:
LAST NAME:
If different than parent
DATE of BIRTH:

MonthDayYear
Date
GENDER:

MALEFEMALE
RELIGION:
SACRAMENTS RECEIVED

BAPTISMEUCHARISTCONFIRMATIONPROFESSION OF FAITH
I WANT TO ADD MORE CHILDREN. PLEASE CONTACT ME.

YESNO
Would your non-Catholic spouse like to learn more about the Catholic Church?

YESNO
Would you like more information about Faith Formation for your children?

YESNO
The Church asks that Catholic's be married before a Priest or Deacon.
If you were not married in the Catholic Church, would you like to be?

YESNOUNDECIDED
If there is anything that the Parish can help with please contact the Parish Office at 580.536.6351.
Should be Empty:

Holy Family Parish Registration Form