REGISTRATION FORM


PARISH REGISTRATION or INFORMATION CHANGE FORM

Please answer YES if you are in need or interested in more information.

Fill out the form below and send it directly from this page or, you can select the following link and e-mail the form or print it, fill it out and bring it to Mass. REGISTRATION FORM

Ministry
Have Needs
Have Interest
Administration:
Bingo
Office Help




Have Needs
Have Interest
Liturgy & Worship:
Altar Servers
Cenacle Group
Charismatic Prayer Grp
Children's Liturgy
Church Cleaners
Communion to Sick
Eucharistic Ministers
Have Needs
Have Interest
Community Building:
Coffee & Donuts
Hilltoppers (Seniors)
Knights of Columbus
Mom's Bible Study
Scouts (various)










Lectors
Legion of Mary
Music Ministry
Traditional Choir
(SATB)
Handbell Choir
Resurrection Chorale
Children's Choir
Instrumentalist
..Instrument?
Contemporary Choir
Have
Needs
Have Interest
Education:
Adult Education
Bible Study
CCD (Rel. Edu.)
R.C.I.A.
Sacraments
Baptism
Confirmation
Eucharist
Marriage
Penance
School
Youth Ministry

























Rosary Makers
Sacristans
Ushers & Greeters





Have Needs
Have Interest
Social Outreach:
Bereavement
CCSA
Child Care
Nursing Ministry
Prayer Network
Pro-Life












Are there other needs you may have or are there other ways in which you would like to be involved in our Parish Community?


FAMILY INFORMATION

Family Name: (Last Only)

Address: Street City State Zip

Phone Number: Area Code Home Work/Cell

Phone Number Spouse: Area Code Home Work/Cell

Email Address: Spouse Email:

Mail addressed to?. Mr.. ....Mrs. .....Ms......Mr. & Mrs.....Dr......Dr. & Mrs.
Other:

Marital Status (Please Check One):

Married Single Divorced Separated Widowed

If married, did the marriage take place in the Catholic Church? Yes No

Wife's Maiden Name:

I/We will use envelopes? Yes No

Church Attendance: Regular Occasional Seldom


FAMILY MEMBERS INFORMATION

FAMILY MEMBERS
First and Middle Initial
Marital
Status
Male/
Female
BIRTHDATE
RELIGION
ADULTíS OCCUPATION and EMPLOYER
SACRAMENTS
(Approx. Date)
Head of Household:

Occupation:
.
.
.
.
Employer:
Phone:
Baptism
Eucharist
Confirmation
Matrimony
1st Penance

Spouse:

Occupation:

.
.
. .
Employer:
Phone:
Baptism
Eucharist
Confirmation
Matrimony
1st Penance

CHILDREN:
 
(Print
1st and Last if
Different from above.)
Child #1:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist
Confirmation
1st Penance

Child #2:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist

Confirmation
1st Penance

Child #3:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist
Confirmation
1st Penance

Child #4:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist
Confirmation
1st Penance

Child #5:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist
Confirmation
1st Penance

Child #6:
GENDER

BIRTHDATE

RELIGION:

Child's School:

Child's Grade:
Baptism
Eucharist
Confirmation
1st Penance

INFORMATION CHANGE

New Parishioner

Put me on the mailing list & send Sunday Envelopes

Change of Address

New Phone Number

I am moving, remove me from the mailing list

Address Correction Requested

I am not currently a Catholic, but would like to know more about the Catholic Church.

I have a concern or question, or would like more information on:

I would like to serve in the Parish as: