Parish Registration Form

Please fill out this form and click submit.

Head of Household

Name

*

Nickname

Date of Birth

*

Email

This address will receive a confirmation email

Phone

*

Address

*

Occupation

*

Marital Status

*

Please select one option.

Single Married Separated Divorced Other

Are you Catholic?

*

Please select all that apply.

Yes No Baptized, but not Confirmed No, but I am interested in becoming Catholic

If applicable, what is the name, city, and state of your previous parish?

Any special needs that you would like us to be aware of?

Spouse

Spouse First and Last Name

Spouse Nickname

Spouse Date of Birth

Spouse Email

Spouse Phone

Spouse Occupation

Is your spouse Catholic?

Please select all that apply.

Yes No Baptized, but not Confirmed No, but they are interested in becoming Catholic

Are there any special needs for your spouse that you would like us to be aware of?

Children at home

Please list all children living in your home, with their first and last name, date of birth, gender, and any special needs that you would like us to be aware of.

Parish Involvement

Please check next to areas that you would like more information about.

*

Please select one option.

Catholic Education (Sacred Heart School) Parish Ministries Parish Events Faith Formation (Adults) Faith Formation (Children) Volunteer Opportunities Other

Description

Please fill out this form and click submit.

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