Risen Christ Catholic Parish New Member Registration Form
Welcome to Risen Christ Catholic Parish, we are happy to have you as part of our community!
Please tell us about yourself and your family so we can better serve you:
Head of Household Last Name *
Head of Household First Name *
Head of Household Middle Initial *
Home Address *
City *
Zip *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Primary Phone Number (for emergencies only, will be kept confidential) *
Secondary Phone Number and Type (work, cell, etc)
Preferred Email *
Head of Household's Religion *
Head of Household: Sacraments Received *
Required
Head of Household's Current Marital Status *
Person 2 Information
Please complete if applicable.
Person 2: Last Name
Person 2: First Name
Person 2: Middle Initial
Head of Household's Relationship to Person 2:
Clear selection
Person 2: Date of Birth
MM
/
DD
/
YYYY
Person 2: Gender
Clear selection
Person 2: Primary Phone Number (for emergency purposes, will be kept confidential)
Person 2: Secondary Phone Number and Type (work, cell, etc)
Person 2: Preferred Email
Person 2: Religion
Person 2: Sacraments Received
Person 2: Marital Status, if applicable
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