Registration & Update Contact Information Registration and Update Contact Information Family Name Address City State ZIP Primary Phone Primary Phone House or Cell? HouseCell Primary Email Adult #1 in Household Full Name Email Address Phone Date of Birth Religion Occupation Ethnicity Maiden Name Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Adult #2 in Household Full Name Email Address Phone Date of Birth Religion Occupation Ethnicity Maiden Name Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Children Please select one of the following for marital status. "Other Marriages" includes those from other faith denominations or civil ceremonies. SingleCatholic MarriageOther MarriageSeparatedDivorcedWidowed Number of Children List dependent children only. In our diocese, Catholics are expected to register with a parish in order to be eligible for sacraments. Adult, non-dependent children should register separately to establish eligibility for services. If an adult, non-dependent child attends Holy Family, please ask him/her to register as a parishioner. Child 1 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Child 2 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Child 3 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Child 4 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Child 5 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Child 6 Child's Name Child's Date of Birth Male or Female MaleFemale Sacraments Received (check all that apply) Catholic BaptismNon-Catholic BaptismReconciliationCommunionConfirmation Share This Page:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pinterest (Opens in new window)Click to print (Opens in new window)
