Parish Registration Form

All dates should be written in this form: MM/DD/YYYY

All phone numbers should be written in this form AAA-EEE-XXXX

Use the Tab Key to move froim field to field

Type in N/A if the requested information does not apply

Family Information (Please complete all fields)

Today's Date
Click if you wish to receive Offertory envelopes	Envelope No.
Family (Last) Name
Mailing Address
City
State (use only USPS abbreviation)
Zip
Address (if different from mailing address)
Home Phone (include area code)
Email

Members of the household

Title	Name, first & middle (last if different from above)	Date of Birth	M/F	Mairtal Status	Church Attendance	Work Phone

Sacraments received (For First Communion, Confirmation and Penance, not only click the small box, but type in the date received in the big box, if known)

First Name	Religion	Church, City, State of Baptism	Date Baptized	First Communion	Confirmation	Penanace