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
Type a question
Birth Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayDate
Religion
1st Language
Occupation
Cell Phone
Format: (000) 000-0000.
Spouse Name

First NameLast Name
Maiden Name
Type a question
Type a question
Birth Date

YearMonthDay
4 digit year, 2 digit month, 2 digit dayDate
Religion
Year
1st Language
Occupation
Cell Phone
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status:
(Other Status)
Wedding Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Phone
Format: (000) 000-0000.
EMail
example@example.com
Consent for communication by email according to the Canadian Anti-Spam legislation (CASL)
Print Your Name
Signature

Children or other family members living at home

Donations: Please select one option
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
Would you like a weekly Parish Bulletin sent to you via email?
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)
What is important to you about your parish?
We welcome your Feedback, Suggestions and Inquiries
THANK YOU!

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