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

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

Please fix the highlighted areas below before submitting.

New Parishioner Registration