New Parishioner Registration Form
(Please complete all of the applicable blanks and click on the submit button at the bottom of the form)
Street Address City State Zip
Mailing Address (if different) City State Zip
Home Phone Email (His) Email (Hers)
Former Parish City & State
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Male / Husband
First Name Last Name Birth Date
Languages spoken other than English Religion
Baptized Y / N Yes No Confirmed Y / N Yes No Occupation
Employer Work Phone Education Select High School College Grad School
Female / Wife
Maiden Name
Marital Status
Please Select Single - Never Married Single - Divorced Single - Widowed Married Married - Previously Divorced Date of Marriage Married by a Catholic Priest? NA Yes No
If divorced, have you applied for an annulment through the Catholic Church NA Yes No
Was it granted? NA Yes No Date
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(Please only register children who reside with you)
Child 1 M / F Male Female First Name Last Name Birth Date
Bapt. Date Bapt. Place 1st. Comm
Confirmation School Grade
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Child 2 M / F Male Female First Name Last Name Birth Date
Child 3 M / F Male Female First Name Last Name Birth Date
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Child 4 M/ F Male Female First Name Last Name Birth Date
Child 5 M / F Male Female First Name Last Name Birth Date
Child 6 M / F Male Female First Name Last Name Birth Date