CAPTCHAToday's date: MM slash DD slash YYYY Family InformationFamily Surname:* Address: City: State: Zip: Are you comfortable with a welcome in our parish bulletin? Yes No Member InformationName: First MI Last Birthdate: Maiden Name: Gender: Male Female Primary Phone: Cell Phone: Email: Would you like to receive contribution envelopes? YES NO Please select “NO” if you would prefer to contribute via online giving on our website. Giving Frequency Weekly Monthly Would you like envelopes for each individual week, or would you prefer to give monthly?Sacraments received:Baptismal Status: Catholic Protestant Not Baptized Confirmed Catholic: Yes No Eucharist: Yes No Marriage Status: Single Catholic Marriage Other Marriage Widowed Divorced Additional information:Occupation: Place of Employment: Employer Phone: SpouseName First MI Last Birthdate: Maiden Name: Gender: Male Female Spouse Primary Phone: Spouse Cell Phone: Spouse Email: Sacraments received:Eucharist: Yes No Confirmed Catholic: Yes No Baptismal Status: Catholic Protestant Not Baptized Marriage Status: Single Catholic Marriage Other Marriage Widowed Divorced Additional information:Occupation: Place of Employment: Employer Phone: Additional Family MembersPlease have any family members over the age of 18 register independently.Add a Child: Add a child Child's InformationName First MI Last Birthdate: Gender: Male Female Sacraments received:Baptismal Status: Catholic Protestant Not Baptized Confirmed Catholic: Yes No Eucharist: Yes No Education:School Attending: Grade: All Saints Faith Formation Student: Yes No We would like to learn more about: Faith Formation classes Youth Ministry Altar Servers Add another child?Add another child Yes Child's InformationName First MI Last Birthdate: Gender: Male Female Sacraments received:Baptismal Status: Catholic Protestant Not Baptized Confirmed Catholic: Yes No Eucharist: Yes No Education:School Attending: Grade: All Saints Faith Formation Student: Yes No We would like to learn more about: Faith Formation classes Youth Ministry Altar Servers Add another child?Add another child Yes Child's InformationEmailThis field is for validation purposes and should be left unchanged.
