Become a Member

We are always delighted to welcome new members to our faith community! You can register online using the form below. Or, if you prefer, stop by the Central Office during office hours to register.

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Family Last Name(s)

Household Email

Household Mailing Address

Household Phone #

Information on Adult Family Member #1

Adult Family Member #1: First, Middle and Last Name

Adult Family Member #1: Gender

Adult Family Member #1: Phone # (if different from household phone # given above)

Adult Family Member #1: Date of Birth (YYYY-MM-DD)

Adult Family Member #1: Marital Status

Adult Family Member #1: If Married, Date of Marriage (YYYY-MM-DD)

Adult Family Member #1: Occupation, if any

Adult Family Member #1: Email Address (if different from the household email provided above)

Adult Family Member #1: If not Catholic, what is her/his religious affiliation?

Adult Family Member #1: Interested in learning more about Rite of Christian Initiation of Adults (RCIA) if needing Baptism, First Reconciliation, First Communion and/or Confirmation?

Information on Adult Family Member #2: If there is another adult in the household, please provide information about that person in this section.

Adult Family Member #2: First, Middle and Last Name

Adult Family Member #2: Gender

Adult Family Member #2: Phone # (if different from household phone # given above)

Adult Family Member #2: Date of Birth (YYYY-MM-DD)

Adult Family Member #2: Marital Status

Adult Family Member #2: If Married, Date of Marriage (YYYY-MM-DD)

Adult Family Member #2: Occupation, if any

Adult Family Member #2: Email Address (if different from the household email provided above)

Adult Family Member #2: If not Catholic, what is her/his religious affiliation?

Adult Family Member #2: Interested in learning more about Rite of Christian Initiation of Adults (RCIA) if needing Baptism, First Reconciliation, First Communion and/or Confirmation?

Information on Child #1: If there is a child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #1: First, Middle and Last Name

Child #1: Gender

Child #1: Date of Birth (YYYY-MM-DD)

Child #1: How does this child receive instruction in the Catholic faith?

Child #1: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Information on Child #2: If there is another child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #2: First, Middle and Last Name

Child #2: Gender

Child #2: Date of Birth (YYYY-MM-DD)

Child #2: How does this child receive instruction in the Catholic faith?

Child #2: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Information on Child #3: If there is another child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #3: First, Middle and Last Name

Child #3: Gender

Child #3: Date of Birth (YYYY-MM-DD)

Child #3: How does this child receive instruction in the Catholic faith?

Child #3: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Information on Child #4: If there is another child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #4: First, Middle and Last Name

Child #4: Gender

Child #4: Date of Birth (YYYY-MM-DD)

Child #4: How does this child receive instruction in the Catholic faith?

Child #4: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Information on Child #5: If there is another child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #5: First, Middle and Last Name

Child #5: Gender

Child #5: Date of Birth (YYYY-MM-DD)

Child #5: How does this child receive instruction in the Catholic faith?

Child #5: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Information on Child #6: If there is another child in your household, please complete this section. Children over age 18 should register separately as adult members.

Child #6: First, Middle and Last Name

Child #6: Gender

Child #6: Date of Birth (YYYY-MM-DD)

Child #6: How does this child receive instruction in the Catholic faith?

Child #6: If this child is a baptized Catholic, which sacraments has s/he received?

First Reconciliation First Communion Confirmation

Do you have any comments, questions, or other information you would like to share?