Copy of New Adult Parishioner Registration or Update

Type of Registration*

New Parishioner Registration

Current Parishioner Update

Family Surname*

Date*

Street Address*

City*

State*

Zip*

Do you live in the area year round or seasonally?

Year Round

Seasonally

May we share your personal information with our Parish Ministries?*

Yes

No

Preferred Language

English

Spanish

1st Head of Household - Marital Status*

1st Head of Household - First Name*

1st Head of Household - Last Name*

1st Head of Household - Primary Phone Number*

1st Head of Household - Additional Phone Number

1st Head of Household - Email Address*

Receive Parish Emails?

Yes

No

1st Head of Household - Date of Birth*

1st Head of Household - Occupation

1st Head of Household - Sacraments Completed*

Baptism

1st Communion

Confirmation

1st Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

2nd Head of Household - Marital Status

2nd Head of Household - First Name

2nd Head of Household - Last Name

2nd Head of Household - Primary Phone Number

2nd Head of Household - Additional Phone Number

2nd Head of Household - Email Address

Receive Parish Emails?

Yes

No

2nd Head of Household - Date of Birth

2nd Head of Household - Occupation

2nd Head of Household - Sacraments Completed

Baptism

First Communion

Confirmation

2nd Head of Household - Church of Baptism

City

State

Additional Notes (If Applicable)

3rd Household Member - First Name

3rd Household Member - Last Name

3rd Household Member - Date of Birth

3rd Household Member - Occupation

3rd Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

3rd Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

4th Household Member - First Name

4th Household Member - Last Name

4th Household Member - Date of Birth

4th Household Member - Occupation

4th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

4th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

5th Household Member - First Name

5th Household Member - Last Name

5th Household Member - Date of Birth

5th Household Member - Occupation

5th Household Member - Sacraments Completed

Baptism

1st Communion

Confirmation

5th Household Member - Church of Baptism

City

State

Additional Notes (If Applicable)

I would like to learn more about:

If Other, please specify

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New Adult Parishioner Registration

New Adult Parishioner Registration or Update Form

Please use this form to register all adult members of your family, or to update us on any current registration changes

To register your children as new parishioners, please use the New Child Parishioner Registration form, available here

If you have any questions or need assistance with this form, please contact the Parish Office at (770) 461-0492

Parish Registration Form