Please complete and submit the form below.

If you prefer to print the form, fill out, and return via mail or weekend collection please download the PDF version here: Registration Form

Head of Household
Name *
Name
Title *
Suffix
Gender *
Address *
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Date of Birth *
Date of Birth
Sacraments Received:
Anniversary Date
Anniversary Date
if applicable
Married by priest in Catholic Church?
if applicable
I would like to receive the bulletin via email
Spouse/Other Adult
Name
Name
if applicable
Title
Suffix
Gender
Cell Phone
Cell Phone
Date of Birth
Date of Birth
Sacraments Received
Anniversary Date
Anniversary Date
if applicable
Married by priest in Catholic Church?
if applicable
I would like to receive the bulletin via email
(Adult children out of college should register on their own, even if at same residence.)
Other Minor or College-Age Child Residing at Home
Name
Name
Suffix
Gender
Relation to Head of Household
Cell Phone
Cell Phone
Date of Birth
Date of Birth
Sacraments Received:
I would like to receive the bulletin via email
Other Minor or College-Age Child Residing at Home
Name
Name
Suffix
Gender
Relation to Head of Household
Cell Phone
Cell Phone
Date of Birth
Date of Birth
Sacraments Received:
I would like to receive the bulletin via email
Other Minor or College-Aged Child Residing at Home
Name
Name
Suffix
Gender
Relation to Head of Household
Cell Phone
Cell Phone
Date of Birth
Date of Birth
Sacraments Received
I would like to receive the bulletin via email
Please list the members of your family currently serving or interested in serving in the following ministries: