PARISH REGISTRATION FORM (For Families and Individual Members)

REGISTRATION TYPE

New Registration or Update? New
Update
* Would you like Offertory Envelopes? Envelope Number (if known)

FAMILY MAILING INFORMATION

Mailing Name *

Address Line 1 *

Address Line 2

City *

State *

ZIP *

FAMILY CONTACT INFORMATION

Primary Email

Secondary Email

Primary Telephone *

Secondary Telephone

Emergency Contact Name

Emergency Contact Telephone

PLEASE ENTER SECURITY CODE AS PICTURED:

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 1

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 2

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 3

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 4

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 5

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 6

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 7

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 8

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 9

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

INDIVIDUAL FAMILY MEMBER ENTRY - PAGE 10

FAMILY MEMBER ENTRY FORM (One Page Per Person)

Please enter each family member individually, one-per-page.

FULL NAME * ROLE (Head of House, Husband, Wife, Child, etc.) * Is this a New Member Entry or an Update of an already registered Family Member? New Updated *

Individual Identification

First Name or Nickname

Gender Male
Female
*

Birth Date (dd/mm/yyyy) *

Primary Language

Individual Contact Information

Primary Telephone

Secondary Telephone

Occupation

Individual Religion

CATHOLIC? Religion, if NOT Catholic

Sacramental Information

Sacraments Received (Check all that apply.)

Baptized

First Confession

First Holy Communion

Confirmation

Dates of Sacraments of Initiation (If Known)

Date Baptized

Date of First Holy Communion

Date of Confirmation

Current Marriage Status

Current Marriage Status Single
Married
Separated
Divorced
Annulled
Widowed
In a Valid Sacramental Catholic Marriage?

Click the NEXT button to enter the next family member.

Click the BACK button to review entries.

Click FINISHED ONLY when complete with ALL family members.

THANK YOU FOR REGISTERING!

with

Saints Philip & James Catholic Church

We look forward to seeing you often!

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