Parishioner Registration Form Choose*New ParishionerCurrent Parishioner - Information UpdateChoose your status*SingleMarriedWidowedDivorced/SeparatedName* First Middle Last Suffix Date of Birth* MM DD YYYY Date of Baptism MM DD YYYY Please enter all known informationChurch of BaptismEmail* Cell Phone*Would you like to get occasional parish updates to your cell phone?*YesNoEducation High School Some College College Grad Masters Doctorate Place of EmploymentJob TitleEthnicitySlovakHispanicEastern EuropeanAfrican AmericanPlease choose a ministry that you may be interested in helping with* Liturgy/Faith Formation Wellness Social Events Neighborhood Partnerships Communications Team Social Justice Parish Council Finance Council Music Ministry Server Eucharistic Minister Lector other, please contact me Spouse First Middle Last Spouse Date of Birth* MM DD YYYY Spouse Date of Baptism MM DD YYYY Please enter all known informationSpouse Church of BaptismSpouse Cell Phone*Would your spouse like to get occasional parish updates to their cell phone?*YesNoSpouse Education High School Some College College Grad Masters Doctorate Spouse Place of EmploymentSpouse Job TitleSpouse EthnicitySlovakHispanicEastern EuropeanAfrican AmericanPlease choose a ministry that your spouse may be interested in helping with* Liturgy/Faith Formation Wellness Social Events Neighborhood Partnerships Communications Team Social Justice Parish Council Finance Council Music Ministry Server Eucharistic Minister Lector other, please contact me Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneWere you married in a Catholic Church?YesNoChurch of MarriageDate of Marriage MM DD YYYY Do you have children?YesNoHow many?Child 1* First Middle Last Child 1 Date of Birth* MM DD YYYY Child 1 Date of Baptism* MM DD YYYY Child 1 Church of Baptism*Child 2* First Middle Last Child 2 Date of Birth* MM DD YYYY Child 2 Date of Baptism* MM DD YYYY Child 2 Church of Baptism*Child 3* First Middle Last Child 3 Date of Birth* MM DD YYYY Child 3 Date of Baptism* MM DD YYYY Child 3 Church of Baptism*Child 4* First Middle Last Child 4 Date of Birth* MM DD YYYY Child 4 Date of Baptism* MM DD YYYY Child 4 Church of Baptism*Would your child/ren like to help serve at mass?* Yes Too young. not yet Need more information No