New Parishioner Registration

I would like to become a parishioner of: REQUIRED Please fill out this field.

Prefix REQUIRED Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Middle Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Address (Street, City, State, & Postal Code) REQUIRED Please fill out this field. Please enter valid data.

Email Address REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Current Religion REQUIRED Catholic Lutheran Methodist Protestant Please fill out this field.

Other Religion (if not listed above) Please enter valid data.

Sacraments Received REQUIRED

Please check all that apply.

Baptism First Holy Communion Confirmation Please fill out this field.

Marital Status REQUIRED Single Engaged Consecrated Married Widowed Annulled Separated Please fill out this field.

Marriage Date (if applicable) Please enter a date.

Parish and City of Marriage (if applicable) Please enter valid data.

Spouse

Please complete this section as thoroughly as possible. Thank you!

Prefix

First Name Please enter valid data.

Middle Name Please enter valid data.

Last Name Please enter valid data.

Maiden Name (if applicable) Please enter valid data.

Date of Birth Please enter a date.

Email Address Please enter an email address.

Phone Number Please enter a phone number.

Current Religion Please enter valid data.

Sacraments Received

Please check all that apply.

Baptism First Holy Communion Confirmation

Household Members
Please include only those living at home or those in college.

Children REQUIRED Please fill out this field.
Child 1
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 2
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 3
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 4
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 5
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 6
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 7
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 8
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 9
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 10
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 11
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation
Child 12
- Prefix
- First Name Please enter valid data.
- Middle Name Please enter valid data.
- Last Name Please enter valid data.
- Date of Birth Please enter a date.
- Current Religion REQUIRED Catholic Lutheran Methodist Protestant Other Please fill out this field.
- Sacraments Received Baptism First Holy Communion Confirmation

Would you like a free subscription to "The Catholic Spirit" (our Archdiocesan newspaper publication)? REQUIRED Please fill out this field.

Would you like information on making your offertory contributions online through our Electronic Funds Transfer (EFT) program? REQUIRED Please fill out this field.

Would you like to receive offertory envelopes? REQUIRED Please fill out this field.

Please let us know how we can help you connect with our parish or if you have any questions.