New Parishioner Registration Form

Welcome to Sacred Heart of Jesus Catholic Parish and School!!!

Please complete the registration form below. After the information has been integrated into our database, you'll receive an email from Erin Rodriguez with Log In Information. This will be your way to update your information, register for events and access your giving statement in the future.

If you have any questions, please contact the Parish Office at 913.422.5700 and we will be glad to assist you.

Thank you!

1Head of Household Info > 2Spouse Info > 3Children (if applicable) > 4Child #1 Info > 5Child #2 Info > 6Child #3 Info > 7Child #4 Info > 8Child #5 Info > 9Addl Info & Acknowledgement
Date of Registration Date of Registration / MM / DD YYYY
Are you new to the Shawnee area?

Are you new to the Shawnee area? Yes No
Previous Parish (Name, City, State):
Head of Household Name Head of Household Name First Last
Date of Birth Date of Birth / MM / DD YYYY
Gender

Gender Male Female
Are you Catholic?
If not Catholic, are you interested in learning more about becoming Catholic
Marital Status
Wedding Date (If Married) Wedding Date (If Married) / MM / DD YYYY
Check all Sacraments you have Received:

Check all Sacraments you have Received: Baptism (Catholic) Baptism (Other Christian Faith) First Eucharist Confirmation None
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Best Phone Number to Reach you: Best Phone Number to Reach you: - ### - ### ####
What type of phone number is this?
Publish Phone Number in Directory?

Publish Phone Number in Directory? Yes No
Do you wish to provide a secondary phone number? Do you wish to provide a secondary phone number? - ### - ### ####
What type of phone number is this?
Best email address for parish communications:

If you don't have an email address please enter: no@no.com
Occupation:
Position:
Employer:
Do you have a spouse to add?
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.