Parish Registration Form

Member Name

Home Address

Phone

Email

Date of Birth

Primary language Spoken in your home

Name of Spouse

Date of Birth

Phone Number

Email

List names and birth dates of your children

Please check the areas you have an interest in helping the parish:

Lector

Altar Server

Greeter

Sacristan

Communion to the Homebound

Stitching Together

Respect Life

Music

Flowers / Gardening

Parish Events

Funeral Luncheons

Other

I would like to receive contribution envelopes.