St. Joseph's Church St. Paul's Mission Parish Registration
If you have a child in Kindergarten - 10th grade, please also fill out the Faith Formation Registration form found on the Faith Formation page at
www.StJosephsChurchGreenfieldCenter.org
.
* Required
Today's Date
Your answer
Previous parish & city/state (if you are new)
Your answer
Family Name
*
Your answer
Mailing Address: Street
*
Your answer
Mailing Address: Town/City
*
Your answer
Primary Phone #
*
Your answer
Primary Email Address
*
Your answer
Head of Household #1
(1) Full First Name
*
Your answer
(1) Middle Name
Your answer
(1) Last Name
Your answer
(1) Maiden name
Your answer
(1) Date of Birth
Your answer
(1) Sex
Male
Female
(1) Religion
Your answer
(1) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
(1) Cell Phone
Your answer
(1) Email address
Your answer
(1) Occupation / Employer
Your answer
(1) Talents / Interests / Hobbies
Your answer
Head of Household #2
(2) Full First Name
Your answer
(2) Middle Name
Your answer
(2) Last Name
Your answer
(2) Maiden name
Your answer
(2) Date of Birth
Your answer
(2) Sex
Male
Female
(2) Religion
Your answer
(2) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
(2) Cell Phone
Your answer
(2) Email address
Your answer
(2) Occupation / Employer
Your answer
(2) Talents / Interests / Hobbies
Your answer
Household Information
Which church will you be attending more often?
*
You are welcome at either worship site, however to help us when reaching out to welcome you, this will be helpful.
St. Joseph's Church, 3159 Route 9N, Greenfield Center
St. Paul's Church, 771 Route 29, Rock City Falls
Do you have any pastoral concerns or is there any information you would like to share?
Your answer
Please check if you would like information on any of the following ministries / committees
Lector
Eucharistic Minister
Music / Choir
Altar Server
Greeter
Usher
Hospitality
Faith Formation / LOFT
Pastoral Care
Buildings & Grounds
RCIA
Liturgy with Children
Evangelization
Fund Raising
Christian Service
Other:
Would you like to receive the Evangelist, our diocesan newspaper?
Yes
No
Child 1
(3) Full First Name
Your answer
(3) Middle Name
Your answer
(3) Last Name
Your answer
(3) Date of Birth
Your answer
(3) Sex
Male
Female
(3) Religion
Your answer
(3) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
Child 2
(4) Full First Name
Your answer
(4) Middle Name
Your answer
(4) Last Name
Your answer
(4) Date of Birth
Your answer
(4) Sex
Male
Female
(4) Religion
Your answer
(4) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
Child 3
(5) Full First Name
Your answer
(5) Middle Name
Your answer
(5) Last Name
Your answer
(5) Date of Birth
Your answer
(5) Sex
Male
Female
(5) Religion
Your answer
(5) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
Child 4
(6) Full First Name
Your answer
(6) Middle Name
Your answer
(6) Last Name
Your answer
(6) Date of Birth
Your answer
(6) Sex
Male
Female
(6) Religion
Your answer
(6) Check all sacraments that this person has received
Baptized
First Communion
Confirmed
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