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First Holy Communion
Confirmation
R.C.I.A. – Rite of Christian Initiation of Adults
Adult Confirmation
Marriage
Anointing of the Sick
Vocations
K-5 Religious Education
DASH – Junior High Religious Education
High School Youth Ministry
Parents Page 2018-2019
Adult Faith Formation
Live The Faith
Mass Times
Serving At Mass
Ministry of Music
Praying Together
Living the Parish Life
Arts & Environment
FORMED – Online Catholic Content
Parish Survey Adult
Parish Survey Youth
Serve Others
Funeral Planning
Pastoral Outreach
Community Outreach
Family Support
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Registration Form
*** If you are having problems filling out the online form, go to
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If you are a human and are seeing this field, please leave it blank.
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Family Name
*
Address
*
City/State
*
Zip
*
Mailing Address (if different from above)
City/State
Zip
Subdivision
*
Marital Status
*
Married In the Catholic Church
Married Outside the Catholic Church
Single (never married)
Divorced/Annulled
Divorced
Widowed
Mail addressed to
*
Mr./Mrs.
Mr.
Mrs.
Ms.
Miss
None
Attends Mass Regularly (Every Sunday)
*
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Your Information
First Name
*
Last Name
*
Title
Mr.
Mrs.
Ms.
Miss
Dr.
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Suffix
Primary Phone Number
*
Phone Type
*
Cell
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Secondary Phone Number
Phone Type
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Email
*
Maiden Name
Nickname
Date of Birth (mm/dd/yyyy)
*
Occupation
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Spouse
First Name
*
Last Name
*
Title
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Mrs.
Ms.
Miss
Dr.
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Primary Phone Number
*
Phone Type
*
Cell
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Secondary Phone Number
Phone Type
Cell
Home
Work
Email
*
Maiden Name
Nickname
Date of Birth (mm/dd/yyyy)
*
Occupation
*
Religion (Catholic, Lutheran)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Please list all children still living at home.
We encourage adult children living at parents home to register on their own.
Number of Children to register on this form
Children
Child 1
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 2
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 3
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 4
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 5
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Child 6
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth (mm/dd/yyyy)
*
Gender
*
Male
Female
Occupation
Grade in School
*
School Attending
*
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Please list other people living with you. For example: Mother, Father, In-Law, Niece, Nephew, Aunt, Uncle, Fiancé)
Number of Other People living with you
(Mother, Father, In-Law, Fiancé)
Others Living with you
Other Person 1
Relationship
*
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth
*
Gender
*
Male
Female
Occupation
Grade in School
School Attending
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Other Person 2
Relationship
*
First Name
*
Last Name
*
Maiden Name
Nickname
Suffix
Date of Birth
*
Gender
*
Male
Female
Occupation
Grade in School
School Attending
Religion (Catholic, Lutheran...)
*
Catholic Sacraments Received
*
Baptism
Reconciliation
Eucharist
Confirmation
None
Comments
Security question: What is twelve minus 9?
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