Parish Registration Form

Please fill out (to the best of your ability) this form in it’s entirety. If you have questions, or need help, please call the parish office and we will have someone assist you!

Parishioner 1

Title

First Name^*

Middle Name (if applicable)

Last Name^*

Maiden Name (if applicable)

Homebound

Yes

Nursing Home/Assisted Living

Yes

Birth Date^*

Sex

Male

Female

Occupation

Marital Status^*

Name of Deceased Spouse

Date of Marriage

Contact Information

Address^*

City^*

State^*

Zip Code^*

Home Phone

Cell Phone

E-mail

only to be used for official parish business

Other Information

Denomination^*

Catholic

non-Catholic

Would you like to receive giving envelopes?

Yes

Indicate which ministries you would like to help with

(Training Provided)

Lector/Reader (daily or weekend)

Sacristan

Hospitality

Collection baskets

Music (vocal or pianist)

Music (adult choir)

Music (soundboard/live stream operator)

Other Ministry Opportunities

Prayer Warriors

Outreach

Prayer Blankets

Funeral Team

Funeral Food

Knights of Columbus

Grounds Committee

Eucharistic Adoration

Office Help

Faith Formation Teacher

Faith Formation Aid

Rosary Guild

Youth Group Aide

Sacraments Received

Baptism

First Communion

Confirmation

Marriage

If have not completed sacraments, or are not Catholic, would you be interested in an adult education program?

Yes

Weekend Mass Typically Attended

5pm (Saturday)

9am (Sunday)

11am (Sunday)

6PM (Sunday)

Do you have any Special Skills that you would be willing to use to help the parish?

(Example: carpenter, plumber, cleaning, sewing, yard work etc.) Please list them below:

Add a spouse or other adult in household?^*

Yes

Parishioner 2