Parishioner Registration Form

Family Last Name:*
Do you wish to receive contribution envelopes:*

If you prefer to give electronically, there will be an opportunity to register for Online Giving after the registration form has been submitted.

Primary Phone:*
Family E-mail:
I wish to have the following details omitted from parish publications:
Marital Status:*
If Married, Date of Marriage:
Full Name of Head of Household:*
Date of Birth:*
Cell Phone:
Maiden Name (if applicable):
Full Name of Spouse:
Spouse's Date of Birth:
Spouse Cell Phone:
Spouse Email:
Spouse Religion:
Spouse Maiden Name (if applicable):
Spouse Profession:

Please complete the following information regarding each child currently living at home: Full name (include last name if different from parent(s) or guardian(s), age, gender, religion and Sacraments Received (Baptism, First Communion and Confirmation)

Child 1 Name:
Child 1 Date of Birth:
Child 1 Gender:
Child 1 Religion:
Child 1 Sacraments Received:
Child 2 Name:
Child 2 Date of Birth:
Child 2 Gender:
Child 2 Religion:
Child 2 Sacraments Received:
Child 3 Name:
Child 3 Gender:
Child 3 Date of Birth:
Child 3 Religion:
Child 3 Sacraments Received:
Child 4 Name:
Child 4 Gender:
Child 4 Date of Birth:
Child 4 Religion:
Child 4 Sacraments Received:
Other children (Please include full name, date of birth, gender, religion and sacraments received:
Word Verification: