Member Registration Form

New Parishioner

Header
Today's Date //
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Member Since //
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Head of Household
Title
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Name
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Maiden Name
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Preferred or Nickname
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Sex
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Birthday //
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Address
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Home Telephone Number --
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Occupation
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Employer
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Work Phone --
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Fax Number --
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Cell Number --
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E-mail Address
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Religion
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Marital Status
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Wedding Date //
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Catholic Marriage?
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Baptized?
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Confirmed?
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Spouse
Spouse Title
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Spouse Name
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Spouse Maiden Name
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Spouse Preferred Name or Nickname
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Sex of Spouse
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Spouse Birthday //
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Spouse Address
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Spouse Home Telephone Number --
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Spouse Occupation
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Spouse Employer
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Spouse Work Phone --
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Spouse Fax Number --
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Spouse Cell Number --
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Spouse E-mail Address
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Spouse Religion
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Is Spouse Baptized?
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Is Spouse Confirmed
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Children
List those living at home, either full or part-time
Child #1 Name
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Sacraments Received
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Birth Date //
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School
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Child #2 Name
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Sacraments Received
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Birth Date //
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School
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Child #3 Name
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Sacraments Received
  •  
Birth Date //
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School
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Stewardship of Time and Talents
Skills and Talents
Check areas in which you already serve and/or are willing to serve and/or have an interest
Carpenty/Construction
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Computer
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Cooking
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Data Entry/Typist
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Electrical
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Heating/AC Technician
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Painter
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Plumber
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Telephoning
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Other
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Liturgical Ministries
Cantor
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Choir
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Church Decoration
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Communion Minister
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Communion Minister to Homebound
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Funeral Choir
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Greeter/Usher
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Hand Bell Choir
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Lector/Reader
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Musical Instrument
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Organist
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Server
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Education
Adult Faith Formation
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Alumni
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Baptism Preparation
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Catholic Initiation Class (help with the class)
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Catholic Initiation Class (to take)
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Patrons Club
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PSR Teacher/Aide
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PSR Volunteer
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School Board
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Scripture Group
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Small Faith Groups
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Sunday School
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Vacation Bible School
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Volunteer for School
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Other
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Other Organizations/Activities
ACA Worker
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Cemetery Board
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Dust Busters (Church Cleaning)
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Eucharistic Adoration
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Farm Board
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Finance Committee
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Funeral Lunches
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Gardening (Parish Grounds)
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Hospitality Committee
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Knights of Columbus
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Knights of Columbus - Ladies Auxiliary
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Money Counter
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Parish Bingo
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Parish Council
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Parish Picnic Worker
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Prayer Chain
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Quilting
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Scrip Program
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St. Vincent de Paul
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Stewardship Committee
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Visiting Shut-Ins
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WCU
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Other
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