Parish Registration

Type of Registration

New Parishioner Registration

Current Parishioner Update

Family Last Name

Street Address

City

State

Zip

Primary Phone Number

Primary Email Address

Would you like to receive weekly collection envelopes?

Yes

No

Receive Parish Emails?

Yes

No

How many adults in your household?

How many children in your household?

Adult 1 - First Name

Adult 1 - Last Name

Date of Birth

Adult 1 - Phone Number

Adult 1 - Email Address

Receive Parish Emails?

Yes

No

Adult 1 - Employer

Adult 1 - Occupation

Faith

Catholic

Other (please specify)

Faith (if not Catholic):

Marital Status

Married in the Catholic Church?

Yes

No

Marriage Date

Sacraments Received (check all that apply)

Baptism

1st Communion

Confirmation

Adult 2 - First Name

Adult 2 - Last Name

Date of Birth

Adult 2 - Phone Number

Adult 2 - Email Address

Receive Parish Emails?

Yes

No

Adult 2 - Occupation

Adult 2 - Employer

Faith

Catholic

Other (please specify)

Faith (if not Catholic)

Marital Status

Married in the Catholic Church?

Yes

No

Sacraments Received (check all that apply):

Baptism

First Communion

Confirmation

Child 1 - First Name

Child 1 - Last Name

Date of Birth

Gender

Male

Female

Sacraments Received (check all that apply)

Baptism

1st Communion

Confirmation

Child 2 - First Name

New Field:

Date of Birth

Gender

Male

Female

Sacraments Received (check all that apply)

Baptism

1st Communion

Confirmation

Child 3 - First Name

Child 3 - Last Name

Date of Birth

Gender

Male

Female

Sacraments Received (check all that apply):

Baptis

First Communion

Confirmation

New Field:

Child 4 - Last Name

Date of Birth

Gender

Male

Female

Sacraments Received (check all that apply):

Baptism

First Communion

Confirmation

Please provide the above info for any additional children under 18 in your household:

I would like to learn more about:

Expertise, talents, or resources that you bring to our parish?

SACRED HEART
CAT HOLIC CHURCH

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Parish Registration

We're so happy that you've chosen to join our faith family!