Parish Registration Form

You are invited to “Come to the Table”

 

    REQUIRED INFORMATION

    All questions in this section are required. Your submission will not send if you do not answer all questions.

    Head of Household Name:

    Maiden Name (If None, please enter None):
    Head of Household Email:
    Head of Household Date of Birth:
    Sacraments Received:
    - Baptism
    - Holy Eucharist
    - Confirmation
    Do you have a spouse?
    Do you have children?

    Only click this submit button if you do not wish to proceed in answering the additional optional questions below.

    ADDITIONAL OPTIONAL INFORMATION ABOUT YOUR HOUSEHOLD

    All questions in this section are optional. Feel free to answer as little or as much as you would like. The more information we have about you, and your family, the better we are able to serve you at our parish.

    Head of Household

    Please answer the following questions in regards to the head of household only.


    Address:
    ,

    Preferred method of communication: PhoneEmailPersonOther

    Occupation:
    Employer:

    Religion:
    Former Parish (if in GR Diocese):

    Cell Phone Number: Preferred Number:
    Home Phone Number: Preferred Number:
    Work Phone Number: Preferred Number:

    Please list any special needs you, or your family, may have:

    Spouse

    Please answer the following questions in regards to the spouse only.



    Maiden Name (If None, please enter None):

    Address:
    Same address as Head of Household?

    ,

    Preferred method of communication: PhoneEmailPersonOther

    Occupation:
    Employer:

    Religion:

    Cell Phone Number: Preferred Number:
    Home Phone Number: Preferred Number:
    Work Phone Number: Preferred Number:

    Spouse Date of Birth:

    Sacraments Received:
    - Baptism
    - Holy Eucharist
    - Confirmation

    Marital Status:
    Date of Marriage:
    Married in the Catholic Church?

    Children and Dependents

    Please include any children, dependents or other adults living at this address.

    First Name Middle Name Last Name M/F Grade Date of Birth Catholic Sacraments Received
    BaptismEucharistConfirmation
    BaptismEucharistConfirmation
    BaptismEucharistConfirmation
    BaptismEucharistConfirmation
    BaptismEucharistConfirmation

    Areas of Interest for your family

    Thank you for choosing to provide us with additional information about your family. We will only use this information to help serve your family better within our parish. Someone from our Parish Office will contact you soon with any questions and opportunities for you and your family.

    Want to get involved? After submitting your registration form, please complete a Parishioner Interest Survey as well.