New Member Registration

Please fill out completely (only those living in the family home) for parish records.

Name:   

Address:    Zip:

Phone:  

Please place a check mark by the sacraments that each family member has received:

Occupation/Place of Employment

Spouse's Occupation/Place of Employment

Marital Status:     Single    Married    Divorced    Widowed

Which Mass does your family usually attend? 

Mass attendance:     Regularly    Monthly    Occasionally

If you are married and your spouse is not Catholic, would he/she like to be considered a member of the parish?   Yes     No  

Is he/she a member of another denomination at this time?

Yes      No

If so, which? 

Are any of your children in school?  Please list school and grade: 

Any special requests or commments:

   THANK YOU FOR JOINING OUR PARISH FAMILY.  WE WELCOME YOU!

Date completed: