New Parishioner Registration

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

Family Name*

Answer Required

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Primary Phone*

Number Required

Primary Email*

Answer Required

Household Member #1 (Head of Household)

First Name*

Answer Required

Goes by

Answer Required

Last Name*

Answer Required

Maiden Name if applicable

Answer Required

Birthdate*

Month, Day, Year xx/xx/xxxx

Answer Required

Cell Phone*

Number Required

Email *

Answer Required

Occupation*

Answer Required

Sacraments recognized by the Catholic Church*

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

Date of Marriage

Answer Required

Do you or any family member have any special needs?

Answer Required

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

HOUSEHOLD MEMBER #2 (Spouse)

First Name

Answer Required

Goes by

Answer Required

Last Name

Answer Required

Maiden Name if applicable

Answer Required

Birthdate

Month, Day, Year xx/xx/xxxx

Answer Required

Cell Phone

Number Required

Occupation

Answer Required

Sacraments recognized by the Catholic Church

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #3

First Name

Answer Required

Last Name

Answer Required

Birthdate

Month, Day, Year xx/xx/xxxx

Answer Required

Sacraments recognized by the Catholic Church

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #4

First Name

Answer Required

Last Name

Answer Required

Birthdate

Month, Day, Year xx/xx/xxxx

Answer Required

Sacraments recognized by the Catholic Church

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #5

First Name

Answer Required

Last Name

Answer Required

Birthdate

Month, Day, Year xx/xx/xxxx

Answer Required

Sacraments recognized by the Catholic Church

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

HOUSEHOLD MEMBER #6

First Name

Answer Required

Last Name

Answer Required

Birthdate

Month, Day, Year xx/xx/xxxx

Answer Required

Sacraments recognized by the Catholic Church

Answer Required

Yes

Baptism

Yes

First Eucharist

Yes

Confirmation

Yes

MINISTRY INTERESTS

Please check all ministries that interest you with "YES" = Would Like to Join or "INFORMATION" = Want More Information. For information about a particular ministry listed below, please visit our website and click on the "Parish Ministry" tab.

Please fix the highlighted areas below before submitting.

New Parishioner Registration