NOTRE DAME PARISH REGISTRATION
Please Complete this Form to Register as a Member of the Notre Dame Church
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Email address
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Your email
Envelope # (Office Use Only)
Your answer
CONTACT INFORMATION
Last Name
*
Your answer
Street Address, City, State, Zip
*
Your answer
Phone / Alt. Phone / Cellular Phone (indicate for each)
*
Your answer
Email Address(es)
*
Your answer
Resident
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Choose
Full-Time Resident
Part-Time Resident (Seasonal)
Notre Dame School Family
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Choose
Yes
No
HEAD OF HOUSEHOLD
Member Name
*
Your answer
Male/Female
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Choose
Male
Female
Date of Birth
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MM
/
DD
/
YYYY
Salutation
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Mr.
Mrs.
Ms.
Miss
Religious Afflilation
*
Roman Catholic
Other:
Highest Grade Completed
Your answer
Family Status
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Choose
Married
Divorced
Single
Widowed
Occupation
*
Your answer
Place of Employment
*
Your answer
NOTRE DAME SERVICE INTERESTS
Ex: Cantor, Eucharistic Minister, Lector, Greeter, Usher, Choir, Parish Council, Finance Council, Rosarians, Men's Club, or feel free to list a special talent you'd like to share
Please List Below
Your answer
SPOUSE
Member Name
Your answer
Maiden Name
Your answer
Different Last Name?
Your answer
Date of Birth
MM
/
DD
/
YYYY
Salutation
Choose
Mr.
Mrs.
Ms.
Miss
Religious Affiliation
Roman Catholic
Other:
Clear selection
Highest Grade Completed
Your answer
Family Status
Choose
Married
Divorced
Single
Widowed
Occupation
Your answer
Place of Employment
Your answer
NOTRE DAME SERVICE INTERESTS
Ex: Cantor, Eucharistic Minister, Lector, Greeter, Usher, Choir, Parish Council, Finance Council, Rosarians, Men's Club, or feel free to list a special talent you'd like to share
Please List Below
Your answer
CHILDREN
Child's Full Name (if last name different, please include)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
Baptism
Eucharist
Confirmation
School Attending
Your answer
Grade Level
Your answer
Child's Full Name (if last name different, please include)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
Baptism
Eucharist
Confirmation
School Attending
Your answer
Grade Level
Your answer
Child's Full Name (if last name different, please include)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sacraments Received
Baptism
Eucharist
Confirmation
School Attending
Your answer
Grade Level
Your answer
Please Include Addt'l Children Below
Your answer
A copy of your responses will be emailed to the address you provided.
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