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 Pastoral Care Office during office hours to register.

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: Roman Catholic?

Yes

Adult Family Member #1: If Roman Catholic, how did s/he enter the faith?

Baptized Catholic as a child

Baptized Catholic as an adult

Baptized non-Catholic Christian, and became Catholic by profession of faith

Adult Family Member #1: If a baptized Catholic, which other sacrament(s) has s/he received?

First Reconciliation

First Communion

Confirmation

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?

Yes

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: Roman Catholic?

Yes

Adult Family Member #2: If Roman Catholic, how did s/he enter the faith?

Baptized Catholic as a child

Baptized Catholic as an adult

Baptized non-Catholic Christian, and became Catholic by profession of faith

Adult Family Member #2: If a baptized Catholic, which other sacrament(s) has s/he received?

First Reconciliation

First Communion

Confirmation

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?

Yes

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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: Has this child been baptized Catholic?

Yes

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

Attends Catholic school

Attends a faith formation program through a Catholic parish

Receives home instruction in the Catholic faith from parents or family

Other/None of the above

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?