Parish Registration - Individual

Member Detail
Last Name: First Name:
Nickname: Maiden Name:
Title: Suffix:

Name formats used in mailings:
Mailing Name: Example: Mr. and Mrs. John Smith
Informal Salutation: Example: John & Mary
Formal Salutation: Example: Mr. and Mrs. Smith

Personal Information
Relationship:
Grade/Degree:
Marital Status:
Language:
Ethnicity:
Religion:
Handicap:
Occupation:
Type: Head Spouse Adult
Young Adult Child Other
Gender: Male Female Birthdate
Receive Separate Statement? Yes No Location:
Home Phone: Other Phone
Work Phone 1: Work Phone 2
Remarks:

Sacraments
Birth Place:
Birth Father: Birth Mother:
Mother's Maiden Name:

Baptism
Baptismal Name: Date:
Performed By: Church Name:
Church Address: Sponsors:

Confirmation
Confirmation Name: Date:
Performed By: Church Name:
Church Address: Sponsors:

Reconciliation
Date:
Performed By: Church Name:
Church Address: Sponsors:

First Communion
Date:
Performed By: Church Name:
Church Address: Sponsors:

Marriage
Spouse Name: Date:
Performed By: Church Name:
Church Address: Witnesses:


I would like to volunteer the following skills:
I would like to volunteer for the following ministries: