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:
Family Last Name *
Your answer
Home Address *
Your answer
City *
Your answer
Zip *
Your answer
Head of Household First Name *
Your answer
Head of Household Middle Name (not initial, please) *
Your answer
Head of Household Last Name *
Your answer
I prefer to be called: *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Primary Phone Number (for emergencies only, will be kept confidential) *
Your answer
Secondary Phone Number and Type (work, cell, etc)
Your answer
Preferred Email *
Your answer
Preferred Method of Contact *
Head of Household's Ethnic Origin
Head of Household's Religion *
Head of Household: Sacraments Received *
Required
Head of Household's Current Marital Status *
Required
Person 2 Information
Please complete if applicable.
Person 2: First Name (legal)
Your answer
Person 2: Full Middle Name (no initials, please)
Your answer
Person 2: Last Name
Your answer
Person 2 prefers to be called:
Your answer
Head of Household's Relationship to Person 2:
Person 2: Date of Birth
MM
/
DD
/
YYYY
Person 2: Gender
Person 2: Primary Phone Number (for emergency purposes, will be kept confidential)
Your answer
Person 2: Secondary Phone Number and Type (work, cell, etc)
Your answer
Person 2: Preferred Email
Your answer
Person 2: Preferred Method of Contact
Person 2: Ethnic Origin
Person 2: Religion
Person 2: Sacraments Received
Person 2: Marital Status, if applicable
Person 3 Information
Please complete if applicable. Otherwise, please scroll down.
Person 3: First Name (legal)
Your answer
Person 3: Full Middle Name (no initials, please)
Your answer
Person 3: Last Name
Your answer
Person 3 prefers to be called:
Your answer
Head of Household's Relationship to Person 3:
Person 3: Date of Birth
MM
/
DD
/
YYYY
Person 3: Gender
Person 3: Primary Phone Number
Your answer
Person 3: Secondary Phone Number
Your answer
Person 3: Preferred Email
Your answer
Person 3: Preferred Method of Contact
Person 3: Ethnic Origin
Person 3: Religion
Person 3: Sacraments Received
Person 3: Marital Status
Person 4 Information
Please complete if applicable. Otherwise, please scroll down.
Person 4: First Name (legal)
Your answer
Person 4: Full Middle Name (no initials, please)
Your answer
Person 4: Last Name
Your answer
Person 4 prefers to be called:
Your answer
Head of Household's Relationship to Person 4:
Person 4: Date of Birth
MM
/
DD
/
YYYY
Person 4: Gender
Person 4: Primary Phone Number
Your answer
Person 4: Secondary Phone Number
Your answer
Person 4: Preferred Email
Your answer
Person 4: Preferred Method of Contact
Person 4: Ethnic Origin
Person 4: Religion
Person 4: Sacraments Received
Person 4: Marital Status
Person 5 Information
Please complete if applicable. Otherwise, please scroll down.
Person 5: First Name (legal)
Your answer
Person 5: Full Middle Name (no initials, please)
Your answer
Person 5: Last Name
Your answer
Person 5 prefers to be called:
Your answer
Head of Household's Relationship to Person 5:
Person 5: Date of Birth
MM
/
DD
/
YYYY
Person 5: Gender
Person 5: Primary Phone Number
Your answer
Person 5: Secondary Phone Number
Your answer
Person 5: Preferred Email
Your answer
Person 5: Preferred Method of Contact
Person 5: Ethnic Origin
Person 5: Religion
Person 5: Sacraments Received
Person 5: Marital Status
How Can We Serve You? *
Required
How Do You Want to Participate? *
Required
How Do You Want to Volunteer? *
Required
Please send printed envelopes with my name and member number for me to contribute to the parish offertory. *
We're excited you've joined Risen Christ Catholic Parish, we look forward to getting to know you!
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