Child Registration

Last Name

Father's First Name

Mother's First Name

Home Address - Street

Home Address - City & State

Home Address - Zip Code

Primary Contact Phone Number

Primary Contact Email

First Child's Last Name

First Child's First Name

First Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Second Child's Last Name

Second Child's First Name

Second Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Third Child's Last Name

Third Child's First Name

Third Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Fourth Child's Last Name

Fourth Child's First Name

Fourth Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Fifth Child's Last Name

Fifth Child's First Name

Fifth Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Sixth Child's Last Name

Sixth Child's First Name

Sixth Child's Middle Name

Gender

Male

Female

Date of Birth:

School Grade

Catholic?

Yes

No

Has Your Child Been Baptized?

Yes

No

If Yes, Date of Baptism

Has Your Child Received 1st Reconciliation?

Yes

No

If Yes, Date of 1st Reconciliation

Has Your Child Received 1st Communion?

Yes

No

If Yes, Date of 1st Communion

Has Your Child Received Confirmation?

Yes

No

If Yes, Date of Confirmation

Is There Anything Else You'd Like Us To Know About Your Child (special needs, allergies, preferences, etc.)?

Follow Us

New Parishoner Registration - Child

We're So Happy That You've Chosen to Join Our Faith Family!

To register your children, please fill out and submit this form

You can register up to six children with one form

If you need to register more than six children, please fill out and submit additional forms

If you have any questions, please call the Parish Office at (770) 461-0492

New Parishioner Registration - Child