New Parishioner Registration

Thank you for your interest in joining our family of parishes. Please fill out the following form to the best of your ability. Upon submission, a staff member will be in touch with you.

If you are curious about the Catholic Church and would like to speak with someone, please contact Brad Bursa at [email protected].

New Parishioner Registration

The following information will be helpful to have on hand as you go through the registration process:
- Baptism information for all household members (date, church, city)
- Date of First Communion and Confirmation for all household members
- Marriage information- wedding date, church, city

1General Info

2Adult Info

3Marriage and Spouse Info

4Additional Family Members

5Child Info

6Involvement

Which of our four parishes do you plan to attend primarily?(Required)

Family Last Name(Required)

Street Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Phone Number(Required)

Primary Email(Required)

Title(Required)

Name(Required)

First Middle Last

Maiden name (if applicable)

Nickname

Gender(Required)

Religion(Required)

Phone number(Required)

Email address

Use same email already provided?

Email address

Date of birth(Required)

City and state of birth(Required)

City State / Province / Region

Date of Baptism (leave blank if you have not received this sacrament)

Name and location of the church of Baptism

Date of First Communion (leave blank if you have not received this sacrament)

Confirmation Date (leave blank if you have not received this sacrament)

Occupation (Ex: electrician, homemaker, student, retired, etc.)

Name of Employer

Marital Status(Required)

Wedding Information

Date of Wedding(Required)

Name of church/ venue(Required)

City, State of wedding(Required)

City State / Province / Region

Spouse Information

Title(Required)

Name(Required)

First Middle Last

Maiden name (if applicable)

Nickname

Gender(Required)

Religion(Required)

Phone number(Required)

Email address(Required)

Date of birth(Required)

City and state of birth(Required)

City State / Province / Region

Date of Baptism (leave blank if you have not received this sacrament)

Name and location of the church of Baptism

Date of First Communion (leave blank if you have not received this sacrament)

Confirmation Date (leave blank if you have not received this sacrament)

Occupation (Ex: electrician, homemaker, student, retired, etc.)

Name of Employer

Child 1

Child 1 Name(Required)

First Middle Last

Child 1 Nickname

Child 1 Date of birth(Required)

Child 1 Gender(Required)

Child 1 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 2

Child 2 Name(Required)

First Middle Last

Child 2 Nickname

Child 2 Date of birth(Required)

Child 2 Gender(Required)

Child 2 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 3

Child 3 Name(Required)

First Middle Last

Child 3 Nickname

Child 3 Date of birth(Required)

Child 3 Gender(Required)

Child 3 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 4

Child 4 Name(Required)

First Middle Last

Child 4 Nickname

Child 4 Date of birth(Required)

Child 4 Gender(Required)

Child 4 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 5

Child 5 Name(Required)

First Middle Last

Child 5 Nickname

Child 5 Date of birth(Required)

Child 5 Gender(Required)

Child 5 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 6

Child 6 Name(Required)

First Middle Last

Child 6 Nickname

Child 6 Date of birth(Required)

Child 6 Gender(Required)

Child 6 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 7

Child 7 Name(Required)

First Middle Last

Child 7 Nickname

Child 7 Date of birth(Required)

Child 7 Gender(Required)

Child 7 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 8

Child 8 Name(Required)

First Middle Last

Child 8 Nickname

Child 8 Date of birth(Required)

Child 8 Gender(Required)

Child 8 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 9

Child 9 Name(Required)

First Middle Last

Child 9 Nickname

Child 9 Date of birth(Required)

Child 9 Gender(Required)

Child 9 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

Child 10

Child 10 Name(Required)

First Middle Last

Child 10 Nickname

Child 10 Date of birth(Required)

Child 10 Gender(Required)

Child 10 Religion(Required)

School attending and current grade (if applicable)

If child is baptized, list date of Baptism

Name and location of the church of Baptism

If child has received first Holy Communion, list Date of First Communion

If child is confirmed, list Confirmation Date

New Parishioner Registration