Parish Registration

Head of Household Information

Head of Household Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Marital Status*

Maiden Name*

Maiden Name

Special Circumstances

Confined to Home
In Nursing Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation
Marriage

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

Marriage Information*

Date of Marriage	Church	Church Location (City, ST)

Highest School Grade Attended or Highest Degree Attained*

School Name

(if enrolled))

Current Grade in School*

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Place of Employment

Business Phone*

I Would Like To*

Add a Child
Add Another Adult
Move to the Next Section (no other family members)

Spouse

Spouse Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Marital Status*

Maiden Name*

Maiden Name

Special Circumstances

Confined to Home
In Nursing Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Sacraments Received

Baptism
First Penance
First Communion
Confirmation
Marriage

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

Highest School Grade Attended or Highest Degree Attained*

School Name

(if enrolled))

Current Grade in School*

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Place of Employment

Business Phone*

I Would Like To*

Add a Child
Add Another Adult
Move to the Next Section (no other family members)

Other Adult

Please remember to only add family members that currently live with you.

Name*

First Last

Relation to Head of Household*

Please let us know how this other adult is related to the head of household.

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Marital Status*

Special Circumstances

Confined to Home
In Nursing Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation
Marriage

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

Marriage Information*

Date of Marriage	Church	Church Location (City, ST)

Highest School Grade Attended or Highest Degree Attained*

School Name

(if enrolled))

Current Grade in School*

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Place of Employment

Business Phone*

I Would Like To*

Add a Child
Move to the Next Section (no other family members)

Child 1 Information

Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Special Circumstances

Confined to Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Currently enrolled in Faith Formation classes?*

Yes
No

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

School Name

(if enrolled))

Current Grade in School

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Student
Student with a job

Type of Occupation

Place of Employment

Business Phone

I Would Like To*

Add Another Child
Move to the Next Section (no other family members)

Child 2 Information

Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Special Circumstances

Confined to Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Currently enrolled in Faith Formation classes?*

Yes
No

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

School Name

(if enrolled))

Current Grade in School

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Student
Student with a job

Type of Occupation

Place of Employment

Business Phone

I Would Like To*

Add Another Child
Move to the Next Section (no other family members)

Child 3 Information

Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Special Circumstances

Confined to Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Currently enrolled in Faith Formation classes?*

Yes
No

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

School Name

(if enrolled))

Current Grade in School

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Student
Student with a job

Type of Occupation

Place of Employment

Business Phone

I Would Like To*

Add Another Child
Move to the Next Section (no other family members)

Child 4 Information

Name*

First Last

Date of Birth*

MM

DD

YYYY

Sex*

Female
Male

Special Circumstances

Confined to Home
Special Needs

What are the special needs that we should be aware of?*

Would this person like to be visited at home by our priest?*

Yes
No

Religion*

Catholic

Are you interested in learning more about the Catholic Faith?*

Yes
No

Number of Years Attended Faith Formation*

Currently enrolled in Faith Formation classes?*

Yes
No

Sacraments Received

Baptism
First Penance
First Comunion
Confirmation

Baptism Information*

Date of Baptism	Church	Church Location (City, ST)

First Penance Information*

Date of First Penance	Church	Church Location (City, ST)

First Communion Information*

Date of First Communion	Church	Church Location (City, ST)

Confirmation Information*

Date of Confirmation	Church	Church Location (City, ST)

School Name

(if enrolled))

Current Grade in School

Ethnic Group*

Primary Language Spoken*

Other Languages Spoken

Occupation

Student
Student with a job

Type of Occupation

Place of Employment

Business Phone

I Would Like To*

Move to the Next Section (no other family members)

Please let us know if you have more than 4 children

If you have more than 4 children, the parish office will contact you at a later date to receive the appropriate information from you.

Yes, I have more than 4 children.

Become a part of our parish family!

Family Information

Head of Household Information

Spouse

Other Adult

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Ministry Interest

Diocese of Charlotte

Daily Reading

Saint of the Day