Parish Registration On-Line

CONFIDENTIAL (FOR CHURCH USE ONLY)

ST MARGARET CHURCH / ST MARY MAGDALEN MISSION
On-Line PARISH REGISTRATION

Please fill in the requested information and press the "SUBMIT" button at the bottom of the page to register.

Family Name: (last name)	Indicate: Ms Mr Mrs Mr & Mrs Other
Address:	..... E-Mail Address:
City: State: Zip:	..... Were you previously registered here ? Yes No
Development:	..... Do you wish a pastoral visit ? Yes No
Year in which you moved into this Parish:	..... How many in your family at this address ?
Would you like to receive the Catholic Review:	..... Telephone (at home): - -

Please include all people living with the Family. Indicate first and middle name in each case; include full-name when different from Family Name.

SINGLE MALE / HUSBAND:

(Full Name)

Birth Date

Occupation / Business Phone
/

Religion

Mass Attendance: Daily
Weekly Monthly
Rare Never

Marital Status: Single Married Widowed
Divorced Separated

Any Foreign Language(s) Spoken by You ?
Language (s):

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas: Special Interest Area:

MUSIC	RELIGIOUS ED	YOUTH	SCHOOL	OUTREACH	LITURGY	PARISH COMMITTEE
Cantor Choir Child Choir Handbells	Adult Ed Aide Office Help	Young Adult Retreats Youth Group	Sub Teach Teach Aide	Home Visits Nursing Home Visits Legion of Mary Clothing Ctr	Euch Minister Reader Usher Alter Server Greeter	Education Development Finance Parish Council Maintenance

SINGLE FEMALE / WIFE:

(First & Maiden Name)

Birth Date

Occupation / Business Phone
/

Religion

Mass Attendance: Daily
Weekly Monthly
Rare Never

Marital Status: Single Married Widowed
Divorced Separated

Any Foreign Language(s) Spoken by You ?
Language (s):

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas: Special Interest Area:

MUSIC	RELIGIOUS ED	YOUTH	SCHOOL	OUTREACH	LITURGY	PARISH COMMITTEE
Cantor Choir Child Choir Handbells	Adult Ed Aide Office Help	Young Adult Retreats Youth Group	Sub Teach Teach Aide	Home Visits Nursing Home Visits Legion of Mary Clothing Ctr	Euch Minister Reader Usher Alter Server Greeter	Education Development Finance Parish Council Maintenance

CHILD # 1:

First Name (& Last if Different)

Sex (M / F)

Birth Date

School

Religion

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas:
Child Choir Handbells Young Adult Youth Group Altar Server Scouts

CHILD # 2:

First Name (& Last if Different)

Sex (M / F)

Birth Date

School

Religion

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas:
Child Choir Handbells Young Adult Youth Group Altar Server Scouts

CHILD # 3:

First Name (& Last if Different)

Sex (M / F)

Birth Date

School

Religion

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas:
Child Choir Handbells Young Adult Youth Group Altar Server Scouts

CHILD # 4:

First Name (& Last if Different)

Sex (M / F)

Birth Date

School

Religion

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas:
Child Choir Handbells Young Adult Youth Group Altar Server Scouts

CHILD # 5:

First Name (& Last if Different)

Sex (M / F)

Birth Date

School

Religion

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas:
Child Choir Handbells Young Adult Youth Group Altar Server Scouts

ADDITIONAL HOUSEHOLD MEMBER:

Name of Household Member

Birth Date

Occupation / Relation to Family
/

Religion

Mass Attendance: Daily
Weekly Monthly
Rare Never

Marital Status: Single Married Widowed
Divorced Separated

Any Foreign Language(s) Spoken by You ?
Language (s):

Sacraments Received: Baptism Eucharist Penance Confirmation

Please indicate Interests in the following areas: Special Interest Area:

MUSIC	RELIGIOUS ED	YOUTH	SCHOOL	OUTREACH	LITURGY	PARISH COMMITTEE
Cantor Choir Child Choir Handbells	Adult Ed Aide Office Help	Young Adult Retreats Youth Group	Sub Teach Teach Aide	Home Visits Nursing Home Visits Legion of Mary Clothing Ctr	Euch Minister Reader Usher Alter Server Greeter	Education Development Finance Parish Council Maintenance

Indicate any special needs, concerns, etc.

Please review this form carefully before submitting. Make individual corrections within
the body of the form. The reset button below RESETS the ENTIRE form.