Welcome to our Parish Community! Name * First Name Last Name Marital Status Married Single Married Email * Email List * May we add your name to our distribution list to receive parish email? Yes No Phone If you prefer to be contacted by phone (###) ### #### Address Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Other Adult Members of Household Names of Adults to be registered (optional) Adult #2 (if applicable) First Name Last Name Adult #2 Email Adult #3 (if applicable) First Name Last Name Adult #3 Email Other Members of Household Child #1 (if applicable) First Name Last Name Child #1 Birthdate MM DD YYYY Child #2 (if applicable) First Name Last Name Child #2 Birthdate MM DD YYYY Child #3 (if applicable) First Name Last Name Child #3 Birthdate MM DD YYYY Child #4 (if applicable) First Name Last Name Child #4 Birthdate MM DD YYYY Child #5 (if applicable) First Name Last Name Child #5 Birthdate MM DD YYYY Child #6 (if applicable) First Name Last Name Child #6 Birthdate MM DD YYYY Ministry List Select Each Ministry that Interests You Music Lectors Altar Servers Ministers of Holy Communion Social Outreach Youth Ministry Religious Education Knights of Columbus Other (Specific In Comments Section) Comments Please share any other comments that might be helpful to us in welcoming you to our community. Offering Envelopes? Would you like to receive offering envelopes mailed to your home Yes No Thank you for your interest. We will share your contact information with the head of the ministries you identified. If you have any questions you may contact the parish directly Confidential Parish Registration
