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New Parishioner Registration

To register to become a member of St. Clare’s or St. Francis of Assisi, please fill out the form below or download the form.

Download Registration Form

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Today's Date *

Select Parish *

St. Francis of Assisi

St. Clare

Do you wish to receive offertory envelopes? *

Yes

No

Are you interested in Online Giving? *

Yes

No

Family Last Name *

Email Address *

Phone *

Street Address *

City, State and Zip *

Male Head of Household

Title

Mr., Dr., Other

First Name, Middle Initial

Suffix, if any

i.e., Jr., Sr.

Name you go by

e.g. Joe

Date of Birth

Religion (identify)

Roman Catholic

Other

Bapitized

Yes

No

Confirmed Catholic

Yes

No

Marital Status

Single

Married

Separated

Divorced

Widowed

If Married, in the Catholic Church

Yes

No

Attend Mass

Frequently

Occasionally

Seldom

Occupation & Special Skills

Female Head of Household

Title

Ms., Mrs., Miss or Other

First Name, Middle Initial

Last Name

if different

Name you go by

e.g. Cathy

Date of Birth

Maiden Name

if applicable

Religion (indentify)

Roman Catholic

Other

Baptized

Yes

No

Confirmed Catholic

Yes

No

Maritial Status

Single

Married

Separted

Divorced

Widowed

If Married, in the Catholic Church?

Yes

No

Attend Mass

Frequently

Occasionally

Seldom

Occuplation & Special Skills

Children Living at Home

First Child

First, Middle Initial and Last Name

last name if different

Date of Birth

Gender

Male

Female

Baptised

Yes

No

First Communion

Yes

No

Confirmed Catholic

Yes

No

Attends Rel. Ed.

Yes

No

Baptism Church

City

Second Child

First, Middle Initial and Last Name

last name if different

Date of Birth

Gender

Male

Female

Baptised

Yes

No

First Communion

Yes

No

Confirmed Catholic

Yes

No

Attends Rel. Ed.

Yes

No

Baptism Church

City

Third Child

First, Middle Initial and Last Name

last name if different

Date of Birth

Gender

Male

Female

Baptised

Yes

No

First Communion

Yes

No

Confirmed Catholic

Yes

No

Attends Rel. Ed.

Yes

No

Baptism Church

City

Fourth Child

First, Middle Initial and Last Name

last name if different

Date of Birth

Gender

Male

Female

Baptised

Yes

No

First Communion

Yes

No

Confirmed Catholic

Yes

No

Attends Rel. Ed.

Yes

No

Baptism Church

City

Fifth Child

First, Middle Initial and Last Name

last name if different

Date of Birth

Gender

Male

Female

Baptised

Yes

No

First Communion

Yes

No

Confirmed Catholic

Yes

No

Attends Rel. Ed.

Yes

No

Baptism Church

City

Others In Household

Name

Date of Birth

Relationship

Name

Date of Birth

Relationship

Name

Date of Birth

Relationship

Comments/Special Considerations

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