CTR Parish Registration Form

Parish Registration Form
PREVIOUS PARISH OF REGISTRAION
CITY/DIOCESE
Head of Household*

First NameLast Name
Role*
Maiden Name (If Applicable)
Date of Birth

MonthDayYear
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Employment
Check all that apply

BaptizedFirst CommunionConfirmationCatholicInterested in RCIA

Adult 2 Name

First NameLast Name
Role
Maiden Name (If Applicable)
Date Of Birth

MonthDayYear
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Employment
Check all that Apply

BaptizedFirst CommunionConfirmationCatholicInterested in RCIA

Marriage

Please fill out this section only of applicable
If one or both of you were Catholic at the time of your Marriage, were you married before a Catholic Priest/Deacon?

YesNo
If the answer to the previous question is NO, were you granted dispensation to be married in another place?

YesNo
Church of Marriage
City/State
Date of Marriage

MonthDayYear

If you have additional children, please put all info in the box to the right. Please separate each child by a full line space.
If you would like to upload a family photo for the parish records you may do so here.

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