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Parish Registration

Basic Information
Last Name*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Physical Address*
Street Address Address Line 2 City State ZIP Code
Are you a seasonal or permanent resident?*
- Seasonal
- Permanent
What is your northern address?*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email Address*
Your Information
Name*
First Last
Marital Status*
Date of Marriage*
MM slash DD slash YYYY
Religion*
Any Personal Disability?*
- Yes
- No
Language(s) Spoken
Occupation
Place of Employment
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
Emergency Contact Information
Name*
First Last
Relationship to you?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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 Information
Name*
First Last
Religion*
Any Personal Disability?*
- Yes
- No
Language(s) Spoken
Occupation
Place of Employment
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 Information
How many children do you have in your household?*
- None
- 1
- 2
- 3
- 4
- 5
- 6
Child 1
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 2
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 3
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 4
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 5
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Penance?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 6
Name
First Last
Sex*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Any disabilities?*
- Yes
- No
What disabilities and how can we help?*
School and Grade*
Baptized?*
- Yes
- No
First Communion?*
- Yes
- No
First Reconciliation?*
- Yes
- No
Confirmation?*
- Yes
- No
What 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 Information
Will you use envelopes?*
- Yes
- No
Is there any additional information that we may need to know?

	October 2022
Mon	Tue	Wed	Thu	Fri	Sat	Sun
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3	4	5	6 OA Thursday-ch title] October 6, 2022 @ 10:00 am - 11:00 am •	7	8	9
10	11	12	13 OA Thursday-ch title] October 13, 2022 @ 10:00 am - 11:00 am •	14	15	16
17	18	19	20 OA Thursday-ch title] October 20, 2022 @ 10:00 am - 11:00 am •	21	22	23
24	25	26	27 OA Thursday-ch title] October 27, 2022 @ 10:00 am - 11:00 am •	28	29	30
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Parish Registration

Basic Information

Your Information

Emergency Contact Information

Spouse Information

Children Information

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Additional Information