Name
*
First Name
Last Name
How would you like your mail addressed? E.g. "Mr. and Mrs. James Smith", "John and Mary Smith", "Miss Mary Smith"
*
Household Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address (if different from Household Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Do you wish to receive offertory envelopes?
*
Yes
No
If not, do you wish to receive envelopes?
Yes
No
Please be advised that, to limit paper waste, our Parish also uses Online Giving. Please visit the page below to learn more.
https://newhydeparkcatholic.com/holyspirit/online-giving/
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Member Information
Please fill out the following information for each household member.
Family Member #1
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #2
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #3
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #4
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #5
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #6
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #7
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #8
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #9
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes, I need to add another family member
Family Member #10
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Sex
*
Male
Female
Language Spoken
*
Religion
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Other
Family Relationship
*
Husband
Wife
Single Parent
Child
Elderly Parent or In-Law
Non-Relative
Baptism
*
Yes
No
First Communion
*
Yes
No
Confirmation
*
Yes
No
Parish Organizations (If currently involved)
School Attending (If applicable)
Occupation (If applicable)
Need to add an additional Family Member?
*
No, I don't need to add another family member
Yes. After I submit these 10 family members, I understand that I will need to re-submit another form separately for my additional family members
Submit
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