New Parishioner Registration Form Registration FormAdditional InformationReviewRegistration FormToday's Date:*Family Name:*Male: <Select> Mr. Dr. *Male (last, first, middle initial):*Female: <Select> Mrs. Miss Ms. Dr. *Female (last, first, maiden name)*Address:*City:*State:*Zip Code:*Email*Home Phone:*May we list the following in our parish directory?*Email(s): Yes No *Cell Phone Number(s): Yes No *I/We have just moved from (Parish Name, City, State):*Today's Date:*Church Attendance: Weekly Occasionally Seldom *Husband or Single AdultFull Name:*Nickname:*Email Address:*Religion:*Occupation:*Name of Employer:*Cell Phone:*Birth Date:*Baptized? Yes No *Place and Date of Baptism: *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *Wife:Full Name:*Nickname:*Email Address:*Religion:*Occupation:*Name of Employer:*Cell Phone:*Birth Date:*Baptized? Yes No *Place and Date of Baptism: *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *Number of ChildrenNumber of Children: 0 1 2 3 4 *Child 1:Full Name:*Nickname:*Religion:*Occupation:*Birth Date:*Baptized? Yes No *Place and Date of Baptism: *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *Child 2:Full Name:*Nickname:*Religion:*Occupation:*Birth Date:*Baptized? Yes No *Place and Date of Baptism? *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *Child 3:Full Name:*Nickname:*Religion:*Occupation:*Birth Date:*Baptized? Yes No *Place and Date of Baptism: *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *Child 4:Full Name:*Nickname:*Religion:*Occupation:*Birth Date:*Baptized? Yes No *Place and Date of Baptism: *First Communion? Yes No *Place and Date of First Communion: *Confirmed? Yes No *Place and Date of Confirmation: *