• 
• First Name:
• Last Name:
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Street Address:
• Suburb:
• Postcode:
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• I’d like to receive the parish bulletin & parish news via email?
  Please Select Yes No I already receive the parish bulletin via email
• I’d like to receive a parish name badge?
  Please Select Yes No I already have a parish name badge
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• I'd like to register an additional adult family member aged 18+?*
  Please Select Yes: I'd like to register an additional adult aged 18+ No: I don't have any additional adult family members aged 18+ to register
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• I'd like to register a family member aged under 18?*
  Please Select Yes: I'd like to register a child family member aged under 18 No: I don't have anyone else to register
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• 
• First Name:
• Last Name:
• Relationship to yourself...
  WifeHusbandChildGrandchildParentGrandparentSisterBrotherNieceNephewAuntUncleOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• They would like to receive the parish bulletin & parish news via email?
  Please Select Yes No They already receive the parish bulletin via email
• They would like to receive a parish name badge?
  Please Select Yes No They already have a parish name badge
• Back

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• 
• I'd like to register a second adult family member aged 18+?*
  Please Select Yes: I'd like to register an additional adult aged 18+ No: I don't have any additional adult family members aged 18+ to register
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• 
• First Name:
• Last Name:
• Relationship to yourself...
  WifeHusbandChildGrandchildParentGrandparentSisterBrotherNieceNephewAuntUncleOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• They would like to receive the parish bulletin & parish news via email?
  Please Select Yes No They already receive the parish bulletin via email
• They would like to receive a parish name badge?
  Please Select Yes No They already have a parish name badge
• Back

  Next

• 
• I'd like to register a third adult family member aged 18+?*
  Please Select Yes: I'd like to register an additional adult aged 18+ No: I don't have any additional adult family members aged 18+ to register
• Back

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• 
• First Name:
• Last Name:
• Relationship to yourself...
  WifeHusbandChildGrandchildParentGrandparentSisterBrotherNieceNephewAuntUncleOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• They would like to receive the parish bulletin & parish news via email?
  Please Select Yes No They already receive the parish bulletin via email
• They would like to receive a parish name badge?
  Please Select Yes No They already have a parish name badge
• Back

  Next

• 
• I'd like to register a fourth adult family member aged 18+?*
  Please Select Yes: I'd like to register an additional adult aged 18+ No: I don't have any additional adult family members aged 18+ to register
• Back

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• 
• First Name:
• Last Name:
• Relationship to yourself...
  WifeHusbandChildGrandchildParentGrandparentSisterBrotherNieceNephewAuntUncleOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• They would like to receive the parish bulletin & parish news via email?
  Please Select Yes No They already receive the parish bulletin via email
• They would like to receive a parish name badge?
  Please Select Yes No They already have a parish name badge
• Back

  Next

• 
• I'd like to register a fifth adult family member aged 18+?*
  Please Select Yes: I'd like to register an additional adult aged 18+ No: I don't have any additional adult family members aged 18+ to register
• Back

  Next

• 
• First Name:
• Last Name:
• Relationship to yourself...
  WifeHusbandChildGrandchildParentGrandparentSisterBrotherNieceNephewAuntUncleOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• Phone Number:
• Email Address:
• Occupation:
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• They would like to receive the parish bulletin & parish news via email?
  Please Select Yes No They already receive the parish bulletin via email
• They would like to receive a parish name badge?
  Please Select Yes No They already have a parish name badge
• Back

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• 
• I'd like to register a child, aged under 18, living at home?*
  Please Select Yes No: I don't have anyone else to register
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• 
• Child's First Name:
• Child's Last Name:
• Relationship to yourself...
  ChildGrandchildOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• School:
  OLD Primary SchoolMercy CollegeSt Pius X CollegeArtarmon Public SchoolChatswood High SchoolMonte Sant' AngeloRoseville Public SchoolSt Aloysius CollegeWilloughby GHSOther
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
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• 
• I'd like to register a second child, aged under 18, living at home?*
  Please Select Yes: I'd like to register an additional child aged under 18 No: I don't have anyone else to register
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• 
• Child's First Name:
• Child's Last Name:
• Relationship to yourself...
  ChildGrandchildOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• School:
  OLD Primary SchoolMercy CollegeSt Pius X CollegeArtarmon Public SchoolChatswood High SchoolMonte Sant' AngeloRoseville Public SchoolSt Aloysius CollegeWilloughby GHSOther
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• Back

  Next

• 
• I'd like to register a third child, aged under 18, living at home?*
  Please Select Yes: I'd like to register an additional child aged under 18 No: I don't have anyone else to register
• Back

  Next

• 
• Child's First Name:
• Child's Last Name:
• Relationship to yourself...
  ChildGrandchildOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• School:
  OLD Primary SchoolMercy CollegeSt Pius X CollegeArtarmon Public SchoolChatswood High SchoolMonte Sant' AngeloRoseville Public SchoolSt Aloysius CollegeWilloughby Girls High SchoolOther
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• Back

  Next

• 
• I'd like to register a fourth child, aged under 18, living at home?*
  Please Select Yes: I'd like to register an additional child aged under 18 No: I don't have anyone else to register
• Back

  Next

• 
• Child's First Name:
• Child's Last Name:
• Relationship to yourself...
  ChildGrandchildOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• School:
  OLD Primary SchoolMercy CollegeSt Pius X CollegeArtarmon Public SchoolChatswood High SchoolMonte Sant' AngeloRoseville Public SchoolSt Aloysius CollegeWilloughby GHSOther
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• Back

  Next

• 
• I'd like to register a fifth child, aged under 18, living at home?*
  Please Select Yes: I'd like to register an additional child aged under 18 No: I don't have anyone else to register
• Back

  Next

• 
• Child's First Name:
• Child's Last Name:
• Relationship to yourself...
  ChildGrandchildOther
• Date of Birth:
   /Day /MonthYear
• Gender:
  Please Select Male Female
• School:
  OLD Primary SchoolMercy CollegeSt Pius X CollegeArtarmon Public SchoolChatswood High SchoolMonte Sant' AngeloRoseville Public SchoolSt Aloysius CollegeWilloughby GHSOther
• Religion:
  CatholicAnglicanUnitingPentecostalPresbyterianOrthodoxJewishBuddhistHinduMuslimSikhNo religionOther
• Back

  Next

• 
• I/we have been members of this parish since:
• Primary language spoken at home:
  EnglishCantoneseFilipinoIndonesianItalianKoreanMalayalamMandarinTagalogVietnameseOther
• Mass most often attended:
  Please Select Saturday 5.30 pm Vigil mass Sunday 7.30 am mass Sunday 9 am mass Sunday 10.30 am mass Sunday 5.30 pm mass Weekday mass I/we don’t attend mass
• I/we would like more information about getting involved in the life of our parish e.g., volunteering in a ministry:
  Please Select Yes No
• I/we would be interested in receiving transportation to and/or from Mass?
  Please Select Yes No

• To complete your registration, click on the Submit button below.

• Submit
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