In order to complete your family's registration, please have a copy of each member's baptismal certificate sent to the Parish office @ 825 Washington Avenue, Newport, KY 41071. *
Required
Head of Household's Full Name (First Middle Last) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Religion *
Sacraments Received: *
Required
Marital Status *
If MARRIED, please supply the date of your marriage:
MM
/
DD
/
YYYY
Spouse's Full Name (First Middle Last)
Your answer
Spouse's Maiden Name
Your answer
Spouse's Date of Birth
MM
/
DD
/
YYYY
Spouse's Gender
Clear selection
Religion
Clear selection
Sacraments Received:
Do you have children that live at home? *
Child's Name (First Middle Last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Sacraments Received:
School Attending
Clear selection
Child's Name (First Middle Last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Sacraments Received:
School Attending
Clear selection
Child's Name (First Middle Last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Sacraments Received:
School Attending
Clear selection
Child's Name (First Middle Last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Sacraments Received:
School Attending
Clear selection
A copy of your responses will be emailed to the address you provided.