Parish Registration Family InformationStreet address *City *State *Zip Code *Home Phone Would you like to be listed in our Parish Directory? YesYes, Name OnlyNoYes, No AddressYes, No Phone Number Head of HouseholdTitle *Mr.Mrs.Ms.MissDr.First Name *Middle Name Last Name *Date of Birth *Religion Occupation Email Cell Phone Work Phone Marital Status Married in the Catholic ChurchSingleWidowedDivorcedCivily MarriedMarried in other ChurchSeparatedLanguages (other than English) Sacraments Received BaptismConfirmationFirst PenanceFirst Communion Spouse (Adult)Select Mrs.Mr.MissDr.Married to (if applicable): First Name Middle Name Last Name Date of Birth Religion Occupation Email Cell phone Work Phone Marital Status Married in the Catholic ChurchSingleWidowedDivorcedCivily MarriedMarried in other ChurchSeparatedLanguages (other than English) Sacraments Received BaptismConfirmationFirst PenanceFirst CommunionIf you have more than two adults, you can add them after submitting this form. Children (under 18)Child 1Name of Child (First & Last) Date of Birth Gender MaleFemaleRelationship Sacraments Received BaptismFirst CommunionConfirmationFirst PenanceChild 2Name of Child (First & Last) Date of Birth Gender MaleFemaleRelationship Sacraments Received BaptismFirst CommunionConfirmationFirst PenanceChild 3Name of Child (First & Last) Date of Birth Gender MaleFemaleRelationship Sacraments Received BaptismFirst CommunionConfirmationFirst PenanceIf you have more children, you can add them after submitting this form. MinistriesCheck with what ministry/ies would you like to be involved? LectorExtraordinary Minister of CommunionUsherGreeterCantorKnight of ColumbusWomen's Rosary Society memberCatechist/Teacher/AidePrayer WariorSpecial EventsMarriage-FOCCUS cuopleAdorationFuneral Ministry Comments VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
