New Member Information

Marital Status*

If married, who officiated?

Catholic Priest/DeaconOther MinisterCivil Authority

Date

Location of Marriage

Name*

First NameLast Name

Gender*

MaleFemale

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Email*

example@example.com

Home Phone Number*

Area CodePhone Number

Work Phone Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Do you have an Alternate/Seasonal mailing address (perhaps for winter months)?*

YESNO

Alternate Mailing Address (not required):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Start Date

Date

End Date

Date

Do you give us permission to release your phone number to other parishioners for Church related matters?*

YESNO

When making donations to the Church, do you prefer to give electronically?*

YESNO

Please list the talents/skills you'd be willing to offer if a need arose in the parish:

(Ex. carpentry, gardening, flower arranging, plumbing, music, reading at Mass, etc.)

How were you baptized?*

CatholicChristian not CatholicNot Baptized

Were you confirmed as a Catholic?*

YesNo

Are you a Graduate of Saint John's Catholic School?*

YesNo

If yes, what year?

HOUSEHOLD MAILING NAME (As you would like it to appear on Church mailings, envelopes, etc. Example: John & Jane Doe):*

HOUSEHOLD MAILING ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

DO YOU HAVE AN ALTERNATE/SEASONAL MAILING ADDRESS (perhaps for winter months)?*

YESNO

ALTERNATE MAILING ADDRESS (not required):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

ALT ADDRESS START DATE

Date

ALT ADDRESS END DATE

Date

DO YOU GIVE US PERMISSION TO RELEASE YOUR PHONE NUMBER TO OTHER PARISHIONERS FOR CHURCH RELATED MATTERS?*

YESNO

WHEN MAKING DONATIONS TO THE CHURCH, DO YOU PREFER TO TITHE ELECTRONICALLY?*

YESNO

PLEASE LIST YOUR TALENTS/SKILLS THAT YOU'D BE WILLING TO OFFER IF A NEED AROSE IN THE PARISH:

(Ex. carpentry, gardening, flower arranging, plumbing, music, reading at Mass, etc.)

ADULT MALE NAME:*

First NameMiddle NameLast Name

MALE DATE OF BIRTH:*

Date

MALE OCCUPATION:*

MALE HOME PHONE:*

Area CodePhone Number

MALE CELL PHONE:*

Area CodePhone Number

MALE WORK PHONE:

Area CodePhone Number

MALE EMAIL ADDRESS:*

example@example.com

MALE RELIGION:*

MALE BAPTISED?*

YESNO

MALE CONFIRMED?*

YESNO

MALE SAINT JOHN'S ALUMNUS?*

YESNO

IF YES, WHAT YEAR?

ADULT FEMALE NAME:*

First NameMiddle NameLast Name

FEMALE DATE OF BIRTH:*

Date

FEMALE OCCUPATION:*

FEMALE HOME PHONE:*

Area CodePhone Number

FEMALE CELL PHONE:*

Area CodePhone Number

FEMALE WORK PHONE:

Area CodePhone Number

FEMALE EMAIL ADDRESS:*

example@example.com

FEMALE RELIGION:*

FEMALE BAPTISED?*

YESNO

FEMALE CONFIRMED?*

YESNO

FEMALE SAINT JOHN'S ALUMNUS?*

YESNO

IF YES, WHAT YEAR?

MALE ADULT MARITAL STATUS*

FEMALE ADULT MARITAL STATUS*

IF MARRIED, WHO OFFICIATED?

CATHOLIC PRIEST/DEACONOTHER MINISTERCIVIL AUTHORITY

DATE OF MARRIAGE

Date

CHURCH/LOCATION OF MARRIAGE (name, city, state)

Please list all other persons living in your household (children or adults). Please list each person separately, and include their sacramental information.

	FIRST NAME	MIDDLE NAME	DATE OF BIRTH	GENDER
FIRST PERSON
SECOND PERSON
THIRD PERSON
FOURTH PERSON
FIFTH PERSON
SIXTH PERSON

	BAPTIZED? (Y/N)	1ST COMMUNION? (Y/N)	1ST RECONCILIATION? (Y/N)	CONFIRMED? (Y/N)
FIRST PERSON
SECOND PERSON
THIRD PERSON
FOURTH PERSON
FIFTH PERSON
SIXTH PERSON

NEW MEMBER REGISTRATION FORM

INDIVIDUAL REGISTRATION

HOUSEHOLD INFORMATION

ADULT HOUSEHOLD MEMBER INFORMATION

MARITAL STATUS

OTHER HOUSEHOLD MEMBERS