St. Monica Parish Registration Form

St. Monica Parish Registration Form
2080 Merivale Rd ♦ Nepean Ontario ♦ K2C 3H1 Tel: (613) 727-1067 ♦ Email: stmonica2080@gmail.com ♦ Web Site: https://saintmonicaparish.ca
FAMILY NAME*
Primary Member's Name*

First NameLast Name
Maiden Name
Gender*

MaleFemale
Type a question*

Mr.Mrs.Ms.Miss.Dr.
Birth Date*

YearMonthDay
Date
Religion*
Baptized:Confirmed:
1st Language*
Occupation
Cell Phone*
Spouse Name

First NameLast Name
Maiden Name
Type a question

MaleFemale
Type a question

Mr.Mrs.Ms.Miss.Dr.
Birth Date

YearMonthDay
Date
Religion
Year

Baptized:Confirmed:
1st Language
Occupation
Cell Phone
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status:*

MarriedSeparatedDivorcedWidowSingleOther
(Other Status)
Wedding Date

MonthDayYear
Date
Home Phone
EMail*
example@example.com
Consent for communication by email according to the Canadian Anti-Spam legislation (CASL)*
Print Your Name
Signature*

Powered by Jotform SignClear

Children or other family members living at home

Donations: Please select one option

I would like a box set for weekly donations.I would like to contribute by using Direct DepositI will donate to the parish using E-transfer to donations@saintmonicaparish.ca: YESI will donate to the parish using Canada Helps: https://www.canadahelps.org/en/dn/47471I would like to contribute by using VISA/MasterCard set up for you: YES
Name to appear on the income tax receipt
(for anonymous donations don't provide a name)
SACRAMENTS:
If you would like information on infant baptism, RCIA or weddings please email: secretary@saintmonicaparish.ca

If you would like information on First Communion or Confirmation please email: sacraments@saintmonicaparish.ca
INVOLVEMENT:
Please indicate which weekend Mass you attend

Sat 5pmSun 8amSun 9:30amSun 11amSun 7pm
Would you like a weekly Parish Bulletin sent to you via email?

YesNo
Please let us know which Church Ministry or Committee you would like to be involved in, and the appropriate person will reach out to you directly. (You can choose more than one)

Lector or ReaderEnvironment/DecoratingUsher/GreeterEucharistic MinisterPastoral CouncilSocial CommitteeChildren's LiturgyFinancial CouncilSacramental HelpAltar ServerOffice HelpYouth Leader (18+)SacristanOutreach CommitteeAudio/Visual operatorMusic Ministry/Choir
What is important to you about your parish?
We welcome your Feedback, Suggestions and Inquiries
THANK YOU!

OFFICE: (613) 727-1067
Should be Empty: