New Member Information

Marital Status

If married, who officiated?

Date

Location of Marriage

Name

First NameLast Name

Gender

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)?

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?

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

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?

Were you confirmed as a Catholic?

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

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)?

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?

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

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?

MALE CONFIRMED?

MALE SAINT JOHN'S ALUMNUS?

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?

FEMALE CONFIRMED?

FEMALE SAINT JOHN'S ALUMNUS?

IF YES, WHAT YEAR?

MALE ADULT MARITAL STATUS

FEMALE ADULT MARITAL STATUS

IF MARRIED, WHO OFFICIATED?

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.

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

Rows	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