Registration
Family Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Head of Household #1
Full Name
Mr.
Mrs.
Ms.
Miss
Dr.
Preferred Title
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
Email
Landline Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Can we text you?
Yes
No
What is your preferred method of contact?
Landline
Cell Phone Call
Text
Email
Family name, address, email and phone numbers are listed in the parish directory. Please check all that you want UNLISTED, if any.
Name
Address
Cell Phone
Landline
Email
Occupation
Place of Employment
Faith Background
Is this person Catholic?
Yes
No
In the process
Is this person interested in becoming Catholic?
Yes
No
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
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Marital Status
Marital Status
Single
Engaged
Married
Widowed
Divorced
Date of Marriage
Maiden Name
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Head of Household #2
Full Name
Mr.
Mrs.
Ms.
Miss
Dr.
Preferred Title
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
Email
Cell Phone
Phone Number
Format: (000) 000-0000.
Can we text you?
Yes
No
What is your preferred method of contact?
Landline
Cell Phone Call
Text
Email
Occupation
Place of Employment
Faith Background
Is this person Catholic?
Yes
No
In the process
Is this person interested in becoming Catholic?
Yes
No
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
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Next
Fiance/Fiancee Information
Name
Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your fiance/fiancee registered at St. Elizabeth Seton?
Yes
No
Would your fiance/fiancee like to register at St. Elizabeth Seton?
Yes
No
Is your fiance/fiancee Catholic?
Yes
No
Is your fiance/fiancee interested in becoming Catholic?
Yes
No
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
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Children
Do you have children under age 24 living in your household?
Yes
No
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Child One
(For children, age 24 and under, living in your household)
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
Back
Next
Child Two
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
Back
Next
Child Three
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
Back
Next
Child Four
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
Back
Next
Child Five
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
Back
Next
Child Six
Full Name
First Name
Middle Name
Last Name
Gender
Male
Female
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current School
Grade
Expected Graduation Yr
Faith Background
Is this person Catholic?
Yes
No
In the process
Has received...
Baptism
Confirmation
1st Reconciliation
1st Eucharist
Add another child?
Yes
No
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List additional children (Name, birthday mm/dd/yyyy, gender, school, grade, expected grad yr)
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Help us to continue to grow our parish by telling us your primary reason for choosing St. Elizabeth Seton as your parish home.
Proximity to my home
Variety of ministries and activities offered
Recommended by a friend (please tell us your friend's name below so we can send a "thank you")
Attended Mass and loved it!
Attended an event and loved it! (please indicate the event below so we can recognize the organizers)
I/someone in my family needs to participate in sacramental preparation (Baptism, Reconciliation, First Eucharist, Confirmation, Marriage)
Other
Would you be interested in someone from Seton's Navigators contacting you for a quick introduction of the parish?
Yes
No
Please use this space to add additional information regarding your reason for choosing St. Elizabeth Seton
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Please let us know if there is anything else you would like to include with your registration information.
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