Copy of New Child & Adult Parishioner Registration or Update

Type of Registration

New Child Parishioner Registration

Current Child Parishioner Update

Family Surname

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

School Grade

Gender

Male

Female

Date of Birth:

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.)?

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Edit Copy - New Parishioner Registration

New Child Parishioner Registration or Update

New Parishioner Registration or Update Form

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

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