New Parishioner Registration

Your Family must be registered at St. Juliana to participate in Faith Formation for all grades K-12. Otherwise, we cannot record sacraments for your children.

You may register ONLY as a Faith Formation family to maintain your registration at your home parish.

If you are ALREADY registered as a St. Juliana Parishioner, please continue to Faith Formation Form to REGISTER your children in Grades K-12th for Faith Formation, Edge and Youth Ministry along with sacramental preparation for Reconciliation, Eucharist, and Confirmation.

Please complete the form below. Required fields marked with an asterisk *

Family Name*

Answer required for "Family Name"

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Primary Phone*

Number Required

Primary Email*

Answer required for "Primary Email"

Household Member #1 (Head of Household)

First Name*

Answer required for "First Name"

Goes by

Answer required for "Goes by"

Last Name*

Answer required for "Last Name"

Maiden Name if applicable

Answer required for "Maiden Name if applicable"

Birthdate*

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Cell Phone*

Number Required

Email *

Answer required for "Email "

Occupation*

Answer required for "Occupation"

Sacraments recognized by the Catholic Church*

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

Date of Marriage

Answer required for "Date of Marriage"

Do you or any family member have any special needs?

Answer required for "Do you or any family member have any special needs?"

If single, please skip to MINISTRY INTERESTS at the bottom of the form.

HOUSEHOLD MEMBER #2 (Spouse)

First Name

Answer required for "First Name"

Goes by

Answer required for "Goes by"

Last Name

Answer required for "Last Name"

Maiden Name if applicable

Answer required for "Maiden Name if applicable"

Birthdate

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Answer required for "Email "

Cell Phone

Number Required

Occupation

Answer required for "Occupation"

Sacraments recognized by the Catholic Church

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #3

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Birthdate

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Sacraments recognized by the Catholic Church

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #4

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Birthdate

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Sacraments recognized by the Catholic Church

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #5

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Birthdate

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Sacraments recognized by the Catholic Church

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #6

First Name

Answer required for "First Name"

Last Name

Answer required for "Last Name"

Birthdate

Month, Day, Year xx/xx/xxxx

Answer required for "Birthdate"

Sacraments recognized by the Catholic Church

Answer required for "Sacraments recognized by the Catholic Church"

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

Please fix the highlighted areas below before submitting.

New Parishioner Registration