St. John Vianney Walnut Creek, California Parish Registration Form
Please fill out this form to register at our parish.
Salutation for Mailing *
e.g. Mr. and Mrs. John Doe
Your answer
Telephone *
Your answer
Household Email Address *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Title *
e.g. Mr/Mrs/Ms/Dr
Your answer
First Name *
Your answer
Last Name *
Your answer
Work Phone Number
Your answer
Date of Birth *
MM/DD/YYYY
Your answer
Religion *
e.g. Catholic
Your answer
Occupation *
Your answer
Employer
Your answer
Intentional Giving
Would you like to offer financial support through the convenience of:
Sacraments Completed
What Sacraments have you completed?
Marital Status *
SECOND ADULT - Title
e.g. Mr/Mrs/Ms/Dr
Your answer
First Name
Your answer
Last Name
Your answer
Work Phone Number
Your answer
Date of Birth
MM/DD/YYYY
Your answer
Religion
e.g. Catholic
Your answer
Occupation
Your answer
Employer
Your answer
Sacraments Completed
What Sacraments have you completed?
Marital Status
Any other adults in residence?
Names and Relationship
Your answer
Do you have one or more children living with you? *
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