St. Philip the Apostle Parish Registration Form

For Office Use Only
ID / Envelope Number:
Registration Date:
File By Name:
FAMILY INFORMATION
Please Check One

Please Check One New Registration Update or Change To My Information
Title (Please Check One)

Title (Please Check One) Mr. & Mrs. Mr. Mrs. Miss Ms. Dr. Other
Head of Houshold's Name Head of Houshold's Name Title First Middle Last Suffix
Spouse's Name Spouse's Name Title First Middle Last Suffix
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Emergency Contact This is the primary family number that will be listed in the parish directory. Emergency Contact
This is the primary family number that will be listed in the parish directory. Title First Middle Last Suffix
Emergency Contact Phone Emergency Contact Phone - ### - ### ####
Would you like to receive text messages?

Would you like to receive text messages? Yes No
Mobile Phone Mobile Phone - ### - ### ####
Please indicate the family's primary email address
How do you prefer to make your offerings?
Please check one.

How do you prefer to make your offerings? Please check one. Envelopes Automatic Draft Online Giving
Marital Status

Marital Status Catholic Marriage Marriage (Outside of the Catholic Church) Single Widowed Separated Divorced
If an adult member of your family is not Catholic,
would he or she be interested in OCIA classes?

If an adult member of your family is not Catholic, would he or she be interested in OCIA classes? Yes No
Do you have children who are not enrolled in a Catholic school
who need to be enrolled in Parish Religious Education (PRE)?

Do you have children who are not enrolled in a Catholic school who need to be enrolled in Parish Religious Education (PRE)? Yes No
MEMBER INFORMATION
Head of Household
Name Name Title First Middle Last Suffix
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Disability
Does the Head of Household have a disability of which you want to make the church aware?

Disability Does the Head of Household have a disability of which you want to make the church aware? Yes No
Please specify disability for Head of Household.
Occupation / Employer
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Please select all sacraments received, include date, if possible.
Sacraments

Please select all sacraments received, include date, if possible. Sacraments Baptism First Communion Confirmation
Baptism Date Baptism Date / MM / DD YYYY
First Communion Date First Communion Date / MM / DD YYYY
Confirmation Date Confirmation Date / MM / DD YYYY
MARRIAGE INFORMATION
Date Married Date Married / MM / DD YYYY
Name of Church
City / State
Spouse
Name Name Title First Middle Last Suffix
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Disability
Does the Spouse have a disability of which you want to make the church aware?

Disability Does the Spouse have a disability of which you want to make the church aware? Yes No
Please specify disability for Spouse.
Occupation / Employer
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Please select all sacraments received by Spouse, include date, if possible.
Sacraments

Please select all sacraments received by Spouse, include date, if possible. Sacraments Baptism for Spouse First Communion for Spouse Confirmation for Spouse
Baptism Date (Spouse) Baptism Date (Spouse) / MM / DD YYYY
First Communion Date (Spouse) First Communion Date (Spouse) / MM / DD YYYY
Confirmation Date (Spouse) Confirmation Date (Spouse) / MM / DD YYYY
Marriage Information Date Married Marriage Information
Date Married / MM / DD YYYY
Name of Church
City and State
Single Adult
Name Name Title First Middle Last Suffix
Maiden Name (If Applicable)
Marital Status
Primary Language
Disability
Does the Single Adult have a disability of which you want to make the church aware?

Disability Does the Single Adult have a disability of which you want to make the church aware? Yes No
Please specify disability for Single Adult
Occupation / Employer
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Please select all sacraments received by Single Adult, include date, if possible.
Sacraments

Please select all sacraments received by Single Adult, include date, if possible. Sacraments Baptism for Single Adult First Communion for Single Adult Confirmation for Siingle Adult
Baptism Date for Single Adult Baptism Date for Single Adult / MM / DD YYYY
First Communion Date for Single Adult First Communion Date for Single Adult / MM / DD YYYY
Confirmation Date for Single Adult Confirmation Date for Single Adult / MM / DD YYYY
Marriage Information Date Married Marriage Information
Date Married / MM / DD YYYY
Name of Church
City and State
CHILDREN
CHILD 1
Child 1 Name Child 1 Name First Last
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Disability
Does Child 1 have a disability of which you want to make the church aware?

Disability Does Child 1 have a disability of which you want to make the church aware? Yes No
Please specify disability for Child 1.
School
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Please select all sacraments received for Child 1, include date, if possible.
Sacraments (Child 1)

Please select all sacraments received for Child 1, include date, if possible. Sacraments (Child 1) Baptism (Child 1) First Communion (Child 1) Confirmation (Child 1)
Baptism Date (Child 1) Baptism Date (Child 1) / MM / DD YYYY
First Communion Date (Child 1) First Communion Date (Child 1) / MM / DD YYYY
Confirmation Date (Child 1) Confirmation Date (Child 1) / MM / DD YYYY
CHILD 2
Child 2 Name Child 2 Name First Last
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Disability
Does Child 2 have a disability of which you want to make the church aware?

Disability Does Child 2 have a disability of which you want to make the church aware? Yes No
Please specify Disability for Child 2.
School
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Please select all sacraments received for Child 2, include date, if possible.
Sacraments (Child 2)

Please select all sacraments received for Child 2, include date, if possible. Sacraments (Child 2) Baptism (Child 2) First Communion (Child 2) Confirmation (Child 2)
Baptism Date (Child 2) Baptism Date (Child 2) / MM / DD YYYY
First Communion Date (Child 2) First Communion Date (Child 2) / MM / DD YYYY
Confirmation Date (Child 2) Confirmation Date (Child 2) / MM / DD YYYY
CHILD 3
Child 3 Name Child 3 Name First Last
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Disability
Does Child 3 have a disability of which you want to make the church aware?

Disability Does Child 3 have a disability of which you want to make the church aware? Yes No
Please specify disability for Child 3.
School
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Please select all sacraments received for Child 3, include date, if possible.
Sacraments (Child 3)

Please select all sacraments received for Child 3, include date, if possible. Sacraments (Child 3) Baptism (Child 3) First Communion (Child 3) Confirmation (Child 3)
Baptism Date (Child 3) Baptism Date (Child 3) / MM / DD YYYY
First Communion Date (Child 3) First Communion Date (Child 3) / MM / DD YYYY
Confirmation Date (Child 3) Confirmation Date (Child 3) / MM / DD YYYY
CHILD 4
Child 4 Name Child 4 Name First Last
Maiden Name (If Applicable)
Marital Status
Primary Language
Religion
Does Child 4 have a disability of which you want to make the church aware?

Does Child 4 have a disability of which you want to make the church aware? Yes No
Please specify disability for Child 4.
School
Gender

Gender Male Female
Birth Date Birth Date / MM / DD YYYY
Please select all sacraments received for Child 4, include date, if possible.
Sacraments (Child 4)

Please select all sacraments received for Child 4, include date, if possible. Sacraments (Child 4) Baptism (Child 4) First Communion (Child 4) Confirmation (Child 4)
Baptism Date (Child 4) Baptism Date (Child 4) / MM / DD YYYY
First Communion Date (Child 4) First Communion Date (Child 4) / MM / DD YYYY
Confirmation Date (Child 4) Confirmation Date (Child 4) / MM / DD YYYY
COMMENTS AND QUESTIONS
Enter any comments or questions you may have here.

St. Philip the Apostle Parish Registration Form

For Office Use Only

FAMILY INFORMATION

MEMBER INFORMATION

Head of Household

MARRIAGE INFORMATION

Spouse

Single Adult

CHILDREN

CHILD 1

CHILD 2

CHILD 3

CHILD 4

COMMENTS AND QUESTIONS Enter any comments or questions you may have here.

COMMENTS AND QUESTIONS
Enter any comments or questions you may have here.