New Parishioner Registration Form

Welcome to Sacred Heart of Jesus Catholic Church!!!

Please complete the registration form below. 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
Marital Status
Are you Catholic?
If not Catholic, are you interested in learning more about becoming Catholic
Date of Birth Date of Birth / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Subdivision/Apartment Complex Name:
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.