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Parish Registration Basic InformationLast Name*Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Physical Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a seasonal or permanent resident?*SeasonalPermanentWhat is your northern address?* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Phone*Cell PhoneEmail Address* Your InformationName* First Last Marital Status*SingleMarriedDivorcedWidowedDate of Marriage* Date Format: MM slash DD slash YYYY Religion*Any Personal Disability?*YesNoLanguage(s) SpokenOccupationPlace of EmploymentGender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoEmergency Contact InformationName* First Last Relationship to you?*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*What ministries are you interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Spouse InformationName* First Last Religion*Any Personal Disability?*YesNoLanguage(s) SpokenOccupationPlace of EmploymentGender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Children InformationHow many children do you have in your household?*None123456Child 1Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Child 2Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Child 3Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Child 4Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Child 5Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Child 6Name First Last Gender*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY Any disabilities?*YesNoWhat disabilities and how can we help?*School and Grade*Baptized?*YesNoFirst Communion?*YesNoFirst Penance?*YesNoConfirmation?*YesNoWhat ministries are they interested in? Altar Server Eucharistic minister Lector Hospitality Minister Music Ministry Homebound Ministry Bereavement Ministry Adult Religious Education Elementary Religious Education Junior/Senior High School Religious Education Teen Youth Group St. Vincent de Paul Thrift Store Widow/Widowers Group Council of Catholic Women Knights of Columbus Additional InformationWill you use envelopes?*YesNoIs there any additional information that we may need to know?