St. Joseph Catholic Church Registration

Your Religious Information
Are you Catholic?*

YesNo
What is your religious preference?
Are you baptized?*

YesNo
Where were you baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Name of Parents
Please include mother’s maiden name
Names of Godparents*
Have you received your First Holy Communion? *

YesNo
Where did you receive your First Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Have you been Confirmed? *

YesNo
Where were you Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Your Spouse's Religious Information
Is your spouse Catholic?*

YesNo
Please list their religious preference.
Is your spouse baptized?*

YesNo
Where were they baptized?*
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Parents
Please include mother’s maiden name
Names of Godparents*
Has your spouse received their First Holy Communion?*

YesNo
Where did they receive their First Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Is your spouse Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Perfomed By:

Children Information
How many children do you have*
Child 1 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
Please list their religious preference.
Is your child baptized?*

YesNo
Where were they baptized?*
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Child 2 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
What is their religious preference?
Is your child baptized?*

YesNo
Where were they baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Child 3 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
What is their religious preference?
Is your child baptized?*

YesNo
Where were they baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Child 4 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
What is their religious preference?
Is your child baptized?*

YesNo
Where were they baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Child 5 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
What is their religious preference?
Is your child baptized?*

YesNo
Where were they baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

Child 6 Information
Name*

First NameMiddle NameLast Name
Relationship*
Birth Date*

MonthDayYear
Birth Location*

Street Address

Street Address Line 2

CityState

Zip Code
School
Grade
Is your child Catholic?*

YesNo
What is their religious preference?
Is your child baptized?*

YesNo
Where were they baptized? *
Please list the name of the church.
Date of Baptism

MonthDayYear
Baptism Performed By:
Names of Godparents
Has your child received their First Holy Communion?*

YesNo
Where did they receive their First Holy Communion?*
Please list the name of the church.
Date of First Communion

MonthDayYear
First Communion Performed By:
Has your child been Confirmed?*

YesNo
Where were they Confirmed?*
Please list the name of the church.
Date of Confirmation

MonthDayYear
Confirmation Performed By:

I would like my name published in the quarterly Intercom as a new parishioner.*

YesNo
Would you like to receive contribution envelopes in the mail?*

YesNo
If you prefer an online giving option, you may sign up for that through our parish website.
Click submit when ready or click back to review your entry.
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Your General Information