Shrine of St. Padre Pio Catholic Church Registration

Family Registration Form/Formulario de registro familiar

Shrine of St. Padre Pio Catholic Church
Welcome to the Shrine of St. Padre Pio / Bienvenidos al Santuario de San Padre Pío

Whether you are new to our area or have been coming to St. Padre Pio for years, all are welcome in this place. We urge you to take a moment to register in our parish, St. Padre Pio Catholic Church. You can register here online, or stop by the parish offices and we will assist you in completing your registration. When you register with St Padre Pio, Catholic Church you are declaring a desire to be part of a Catholic faith community. Your registration affects our parish in many ways. Parish family numbers may determine how many priests are assigned to a parish, what benefits and obligations the community has to the diocese, and how many Masses and programs are planned and scheduled. This is also extremely helpful when Sacraments are needed from your parish, such as baptism, anointing of the sick, or funerals. All we ask from you is to learn the faith with us, walk the narrow path with us, share God's mercy with others, as well as His love. It is important to be sure to answer all questions Es importante que se asegure de responder a todas las preguntas
Date you are registering in the parish/Fecha de registro en la parroquia.

MonthDayYear
Registration Options /opciónes de registro

Register as a New Family/Registrarse como una nueva familia.Update Existing parish registration/actualizar un registro existente
Are you interested in receiving weekly envelopes for your contribution to the Parish? / ¿Está interesado en recibir sobres semanales para su contibucion a la parroquia?

Yes/ SiNo
Are you interested in contributing electronically to the parish?/¿Está interesado en contribuir electrónicamente a la parroquia?

Yes/SiNo
To donate by credit card, please use the link below/Para donar con tarjeta de credito por favor use este enlace.

https://www.givecentral.org/location/904
Head of Household/ Jefe de Familia
Name/ Nombre *

PrefixFirst NameMiddle NameLast NameSuffix
Gender/Genero*

MaleFemale
Date of Birth/ Fecha de Nacimiento*

MonthDayYear
At present time please check which best applies to you/ Por favor marque cual es su estado civil actual*

Married/Casado(a)Single/Soltero(a)Widower/ViudoWidowed/ViudaCivil Marriage / Casado al CivilDivorced/ Divorciado(a)Divorced and remarried?/ Estas divorciado y vuelto a casar
Religion/Religión
Ethnicity/Etnicidad

White/BlancoHispanic/HispanoBlack/NegroAsian/AsiaticoNative American/Nativo AmericanoOther
What is the primary language spoken in the home?/¿Cuál es el idioma primario que se habla en casa?*

EnglishSpanishOther
Name of Neighborhood/ Nombre del Vecindario
Address/Dirección*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number/ Numero de Telefono de Casa*

Area CodePhone Number
Cell Phone Number/Numero celular*

Area CodePhone Number
Email/Correo Electronico*

Confirmation Emailexample@example.com
Would you like to serve in any of the ministries listed? /¿Le gustaría servir en alguno de los siguientes ministerios ?

Eucharistic Minister/ Ministro de EucaristiaLector/lector(a)Usher/UjierAudio/ VisualAltar servers/MonaguillosMusic Ministry/CoroSacristan/SacristanesGreeter/BienvenidaBereavement Ministry/Ministerio de DueloACTSCatechist grades K-5Cathechist grades 6-8Cathechist- Confirmation or Life TeenOther
Baptism/Bautizo

Yes/SiNo
Baptism Date Received/Fecha de Bautizo

MonthDayYear
Date
First Communion/Primera Communion

Yes/SiNo
First Communion Date/ Fecha de Primera Communion

MonthDayYear
Date
Confirmation/Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Date of Marriage (Only Catholic Marriage)/Fecha de Matrimonio (Solamente si fue a traves de la Iglesia Catolica)

MonthDayYear
Date
Name of Church of marriage( Please include city, state and zip code) Nombre de la iglesia donde se casaron (por favor incluya ciudad, estado el codigo postal)
Civil Marriage/ Casado al Civil

Yes/SiNo/No
Spouse/Esposo(a)
Name /Nombre

PrefixFirst NameMiddle NameLast NameSuffix
Gender/Sexo

Male/hombreFemale/ Mujer
Date of Birth/ Fecha de Nacimiento

MonthDayYear
At present time please check which best applies to you/ Por favor marque cual es su estado civil actual

Married/Casado(a)Single/Soltero(a)Widower/ViudoWidowed/ViudaCivil Marriage / Casado al CivilDivorced/ Divorciado(a)Divorced and remarried?/ Estas divorciado y vuelto a casar
Religion/Religión
Cell Phone Number/Numero celular

Area CodePhone Number
E-Mail / Correo Electronico
Ethnicity/Ethnicidad

White/BlancoHispanic/ HispanoBlack/NegroAsian/AsiaticoNative American/ Americano NativoOther
Would you like to serve in any of the ministries listed? /¿Le gustaría servir en alguno de los siguientes ministerios ?

Eucharistic Minister/ Ministro de EucaristiaLector/lector(a)Usher/UjierAudio/ VisualAltar servers/MonaguillosMusic Ministry/CoroSacristan/SacristanesGreeter/BienvenidaBereavement Ministry/Ministerio de DueloOther
Date of Marriage (Only Catholic Marriage)/Fecha de Matrimonio (Solamente si fue a traves de la Iglesia Catolica)

MonthDayYear
Date
Name of Church of marriage( Please include city, state) Nombre de la iglesia donde se casaron (por favor incluya ciudad, estado)
Civil Marriage/ Casado al Civil

Yes/SiNo/No
Are you divorced and remarried/¿Estás divorciado y vuelto a casar?

Yes/ SiNo
Baptism/ Bautizo

Yes/SiNo
Baptism Date Received/Fecha de Bautizo

MonthDayYear
Date
First Communion/ Primera Communion

Yes/SiNo
First Communion Date/ Fecha de Primera Communion

MonthDayYear
Date
Confirmation/Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Child 1/ Niño(a) 1

Children over 18 should submit separate registration
Name/Nombre

First NameMiddle NameLast NameSuffix
Gender/ Sexo

Male/hombreFemale/Mujer
Date of Birth /Fecha de Nacimiento

MonthDayYear
Religion/Religión
Baptism/Bautizo

Yes/SiNo
Baptism Date /Fecha de Bautizo

MonthDayYear
Date
First Communion/ Primera Communion

Yes/SiNo
First Communion Date/ Fecha de Primera Communion

MonthDayYear
Date
Confirmation/Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Child 2/ Niño(a) 2

Children over 18 should submit separate registration
Name/ Nombre

First NameMiddle NameLast NameSuffix
Gender/ Sexo

Male/ HombreFemale/Mujer
Date of Birth/ Fecha de Nacimiento

MonthDayYear
Religion/Religión
Baptism/ Bautizo

Yes/SiNo
Baptism Date /Fecha de Bautizo

MonthDayYear
Date
First Communion/ Primera Communion

Yes/ SiNo
First Communion Date/ Fecha de Primera Communion

MonthDayYear
Date
Confirmation/Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Child 3/ Niño(a) 3

Children under age 18 only/ Children over 18 should submit separate registration
Name/ Nombre

First NameMiddle NameLast NameSuffix
Gender/ Sexo

Male/HombreFemale/Mujer
Religion/Religión
Date of Birth/ Fecha de Nacimiento

MonthDayYear
Baptism/ Bautizo

Yes/SiNo
Baptism Date/Fecha de Bautizo

MonthDayYear
Date
First Communion/Primera Communion

Yes/SiNo
First Communion Date/ Fecha de Primera Communion

MonthDayYear
Date
Confirmation/Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Child 4/ Niño(a) 4

Children under age 18 only/ Children over 18 should submit separate registration
Name/ Nombre

First NameMiddle NameLast NameSuffix
Gender/Sexo

Male/HombreFemale/Mujer
Religion/Religión
Date of Birth/Fecha de Nacimiento

MonthDayYear
Baptism/Bautizo

Yes/SiNo
Baptism Date/Fecha de Bautizo

MonthDayYear
Date
First Communion/ Primera Communion

Yes/SiNo
First Communion Date/Fecha de Primera Communion

MonthDayYear
Date
Confirmation/ Confirmación

Yes/SiNo
Confirmation Date/Fecha de Confirmacion

MonthDayYear
Date
Comments/Comentarios
Should be Empty: