St. John the Evangelist Parish
REGISTRATION FORM
Family Name *
Your answer
Register as:
Marital Status *
Male (first name) *
If no male, please enter "none"
Your answer
Date of Birth *
Your answer
Male's Religion
Female (first name) *
If no female, please enter "none"
Your answer
Maiden *
Your answer
Date of Birth *
Your answer
Female's Religion
Address *
Your answer
City *
Your answer
Zip *
Your answer
His phone (please indicate home or cell phone)
Your answer
Her phone (please indicate home or cell phone)
Your answer
Primary Phone *
Your answer
Primary email address *
Your answer
Would you like to be added to our email update list?
Would you like your contributions applied to St. John or St. Joseph *
Male: Church of Baptism *
Name of church, city, state. Only enter "none" if never Baptized in any Christian faith
Your answer
Sacraments (Male)
Please select if "YES"
Yes
No
Married by priest/deacon
Confirmed
Attends Mass
First Reconciliation
First Communion
Female: Church of Baptism *
Name of church, city, state. Only enter "none" if never Baptized in any Christian faith
Your answer
Sacraments (Female)
Please select if "YES"
Yes
No
Attends Mass
Married by priest/deacon
First Reconciliation
First Communion
Confirmed
Childeren
Dependents in the household, under the age of 26
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