Parish Registration FormDownload PDF Form or fill out the form below Family Information Today's Date * MM DD YYYY Family Last Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone * (###) ### #### Email * Secondary Email (Optional) Status * Married Single Widow(er) Divorced Separated If Married, date of marriage MM DD YYYY Married in the Church Yes No If not married in the Church, did you get the marriage validated (blessed by a priest? Yes No Adult Information Man’s Name (First/Middle/Last) Birth Date MM DD YYYY Religion Cell Phone (###) ### #### Have you been baptized? Yes No Date Baptized (if yes) MM DD YYYY First Communion Yes No Confirmation Yes No Woman’s Name (First/Middle/Last) Birth Date MM DD YYYY Religion Cell Phone (###) ### #### Have you been baptized? Yes No Date Baptized (if yes) MM DD YYYY First Communion Yes No Confirmation Yes No **Would you like to receive envelopes for your Sunday tithing contributions? Yes No Do we have your permission to print your family information: Name, Address, Phone Numbers (if not unlisted), and Names of Children in a Church Directory? Yes No Child Information 01 (List only children living at home, including those who are attending college/university but are away for school.) Child 01 Name (First/Middle/Last) Birth Date MM DD YYYY Gender Female Male Have they been baptized? Yes No Baptism Date MM DD YYYY Parish City/State First Communion Yes No Parish City/State Confirmation Yes No Parish City/State Grade in School School Attending Child Information 02 (List only children living at home, including those who are attending college/university but are away for school.) Child 02 Name (First/Middle/Last) Birth Date MM DD YYYY Gender Female Male Have they been baptized? Yes No Baptism Date Parish City/State First Communion Yes No Parish City/State Confirmation Yes No Parish City/State Grade in School School Attending Child Information 03 (List only children living at home, including those who are attending college/university but are away for school.) Child 03 Name (First/Middle/Last) Birth Date MM DD YYYY Gender Female Male Have they been baptized? Yes No Baptism Date Parish City/State First Communion Yes No Parish City/State Confirmation Yes No Parish City/State Grade in School School Attending Child Information 04 (List only children living at home, including those who are attending college/university but are away for school.) Child 04 Name (First/Middle/Last) Birth Date Gender Female Male Have they been baptized? Yes No Baptism Date MM DD YYYY Parish City/State First Communion Yes No Parish City/State Confirmation Yes No Parish City/State Grade in School School Attending Child Information 05 (List only children living at home, including those who are attending college/university but are away for school.) Child 05 Name (First/Middle/Last) Birth Date Gender Female Male Have they been baptized? Yes No Baptism Date Parish City/State First Communion Yes No Parish City/State Confirmation Yes No Parish City/State Grade in School School Attending Thank you for submitting!
