Parishioner Registration Form
Please complete this form to register at St. Charles. You can reach out to the parish office if you have any questions at 509-327-9573.
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First Name *
Last Name *
Spouse Name
Spouse Last Name
Address *
City, State, Zip *
Email Address *
Spouse Email Address
Do you want contribution envelopes mailed to your home? *
Would you like to be added to flocknote to receive bulletins and other information by email?
Clear selection
Phone Number *
Spouse Phone Number
Marital Status *
If married, is it a Catholic marriage?
Clear selection
Occupation
Spouse Occupation
Date of Birth
MM
/
DD
/
YYYY
Spouse Date of Birth
MM
/
DD
/
YYYY
Are you Baptized? If so, please provide date.
Have you received 1st Communion? If so, please provide date.
Have you been Confirmed? If so, please provide date.
Is your spouse Baptized? If so, please provide date.
Has your spouse received 1st Communion? If so, please provide date.
Has your spouse been Confirmed? If so, please provide date.
Child 1 Name
Child 1 Date of Birth
MM
/
DD
/
YYYY
Is Child 1 Baptized? If so, please provide date.
Has Child 1 received 1st Communion? If so, please provide date.
Has Child 1 been Confirmed? If so, please provide date.
Child 2 Name
Child 2 Date of Birth
MM
/
DD
/
YYYY
Is Child 2 Baptized? If so, please provide date.
Has Child 2 received 1st Communion? If so, please provide date.
Has Child 2 been Confirmed? If so, please provide date.
Child 3 Name
Child 3 Date of Birth
MM
/
DD
/
YYYY
Is Child 3 Baptized? If so, please provide date.
Has Child 3 received 1st Communion? If so, please provide date.
Has Child 3 been Confirmed? If so, please provide date.
Child 4 Name
Child 4 Date of Birth
MM
/
DD
/
YYYY
Is Child 4 Baptized? If so, please provide date.
Has Child 4 received 1st Communion? If so, please provide date.
Has Child 4 been Confirmed? If so, please provide date.
Child 5 Name
Child 5 Date of Birth
MM
/
DD
/
YYYY
Is Child 5 Baptized? If so, please provide date.
MM
/
DD
/
YYYY
Has Child 5 received 1st Communion? If so, please provide date.
Has Child 5 been Confirmed? If so, please provide date.
If you have more children, please list their names, DOBs, Baptism, 1st Communion and Confirmation information below.
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