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: ---YesNo- Baptism ---YesNo- Holy Eucharist ---YesNo- Confirmation Do you have a spouse? ---YesNo Do you have children? ---YesNo 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: ---YesNo Home Phone Number: Preferred Number: ---YesNo Work Phone Number: Preferred Number: ---YesNo 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? ---YesNo , Preferred method of communication: PhoneEmailPersonOther Occupation: Employer: Religion: Cell Phone Number: Preferred Number: ---YesNo Home Phone Number: Preferred Number: ---YesNo Work Phone Number: Preferred Number: ---YesNo Spouse Date of Birth: Sacraments Received: ---YesNo- Baptism ---YesNo- Holy Eucharist ---YesNo- Confirmation Marital Status: Date of Marriage: Married in the Catholic Church? ---YesNo 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 ---MF BaptismEucharistConfirmation ---MF BaptismEucharistConfirmation ---MF BaptismEucharistConfirmation ---MF BaptismEucharistConfirmation ---MF BaptismEucharistConfirmation Areas of Interest for your family Once you submit this form, you will be automatically redirected to a new page that will allow you to share with us your areas of interest. 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. [recaptcha]
