New Parishioner Registration Form

New Parishioner Registration Form

To register at St. Francis, please complete this form and join us for a Welcome Event
Family Member 1*

First NameLast Name
Maiden Name
Nickname
Primary Address*

Street Address

CityState

Zip Code
Primary Phone*

Area CodePhone Number
Emergency Phone*

Area CodePhone Number
Emergency Contact
Family Member 1 E-mail Address*
Date of Birth*

MonthDayYear
Gender*
Are you transferring from another parish?*

YesNo
If "Yes", please enter the name, city, and state of the parish
Religion*
Please check all sacraments received*

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Are you in RCIA?
If not Catholic would you want to become Catholic?
Marital Status*
Date of Marriage

MonthDayYear
Employer
Occupation
Cell Phone

Area CodePhone Number
Please complete a section for each member of your family.
When you are finished, scroll to the bottom of the form and submit.
Family Member 2

First NameLast Name
Maiden Name
Nickname
Family Member 2 E-mail Address (Please use different email address than family member 1)
Date of Birth*

MonthDayYear
Gender
Religion
Please check all sacraments received

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Marital Status
Date of Marriage

MonthDayYear
Employer
Occupation
Cell Phone

Area CodePhone Number
Family Member 3

First NameLast Name
Nickname
Date of Birth*

MonthDayYear
Gender
Religion
Please check all sacraments received

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Family Member 4

First NameLast Name
Nickname
Date of Birth*

MonthDayYear
Gender
Religion
Please check all sacraments received

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Family Member 5

First NameLast Name
Nickname
Date of Birth*

MonthDayYear
Gender
Religion
Please check all sacraments received

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Family Member 6

First NameLast Name
Nickname
Date of Birth*

MonthDayYear
Gender
Religion
Please check all sacraments received

Baptism (Roman Catholic)Baptism ( Other )First Eucharist (Roman Catholic)Confirmation (Roman Catholic)None
Please upload child/ren's Baptism Certificates

Browse Files

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Help us get you know more about you / your family.
Tell us a little about yourself.
Have you recently moved?
What brings you to St. Francis of Assisi?
What are some of your favorite things to do?
What questions/ comments do you have about our parish?
What ways can we help you engage and get involved in our parish?
Do you have any children? Are you in need or interested in sacraments for them?
Enter the message as it's shown*
Email
example@example.com
Email
example@example.com
Email
example@example.com
Should be Empty: