New Parishioner Registration Form
Information about you and your family for the church registry.
Family Information
Family Name *
(Last Name)
Your answer
Head of Household Name *
Your answer
Address *
(include apartment number)
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Spouse Name
Your answer
Marital Status *
Email Address *
(may include more than one)
Your answer
City, State & Zip Code *
Your answer
Date of Marriage
MM
/
DD
/
YYYY
Ethnicity *
Language Spoken *
Do you plan to use church envelopes? *
Required
Head of Household
Basic Information
Member Information - Head of Household *
Full Name
Your answer
Religion - Head of Household *
Gender - Head of Household *
Required
Date of Birth - Head of Household *
MM
/
DD
/
YYYY
Occupation - Head of Household
Your answer
Spouse
Member Information - Spouse
Full Name
Your answer
Religion - Spouse
Gender - Spouse
Date of Birth - Spouse
MM
/
DD
/
YYYY
Occupation - Spouse
Your answer
Child 1
Member Information - Child 1
Full Name
Your answer
Religion - Child 1
Gender - Child 1
Date of Birth - Child 1
MM
/
DD
/
YYYY
Child 2
Member Information - Child 2
Full Name
Your answer
Religion - Child 2
Gender - Child 2
Date of Birth - Child 2
MM
/
DD
/
YYYY
Child 3
Member Information - Child 3
Full Name
Your answer
Religion - Child 3
Gender - Child 3
Date of Birth - Child 3
MM
/
DD
/
YYYY
Child 4
(if you have more than 4 children, contact office)
Member Information - Child 4
Full Name
Your answer
Religion - Child 4
Gender - Child 4
Date of Birth - Child 4
MM
/
DD
/
YYYY
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