Parish Registration Form Parish Registration Date * HOUSEHOLD INFORMATION Family Name Title (e.g. Mr/Mrs., Miss, Dr. , etc) Suffix (e.g. Sr., Jr, SCN,) Street Address City, State, Zip Email Phone May we publish your names when we welcome new families in our bulletins or newsletters? Yes No ADULT #1 Last Name First Name and Initial Nickname Birth date Gender Male Female Religion Occupation Employer Work Phone Cell Phone Marital Status Never Married Married Widowed Separated Divorced Disability? Yes No Shut-In? Yes No Accommodations? Sacramental Information Baptism Date, Parish, City, State First Communion Date, Parish, City, State Confirmation Date, Parish, City, State Marriage Date, Parish, City, State ADULT #2 Last Name First Name and Initial Nickname Birth date Gender Male Female Religion Occupation Employer Work Phone Cell Phone Marital Status Never Married Married Widowed Separated Divorced Disability? Yes No Shut-In? Yes No Accommodations? Sacramental Information Baptism Date, Parish, City, State First Communion Date, Parish, City, State Confirmation Date, Parish, City, State Marriage Date, Parish, City, State CHILD 1 Last Name First Name and Initial Nickname Birth date Gender Male Female Disability? Yes No Accommodations? Religion School Religious Education Sacramental Information Baptism Date, Parish, City, State First Communion Date, Parish, City, State Confirmation Date, Parish, City, State CHILD 2 Last Name First Name and Initial Nickname Birth date Gender Male Female Disability? Yes No Accommodations? Religion School Religious Education Sacramental Information Baptism Date, Parish, City, State First Communion Date, Parish, City, State Confirmation Date, Parish, City, State ADDITIONAL INFORMATION Please share any additional pertinent individual or household information and/or any suggestions for improved programs, services, or facilities at the Cathedral. Submit
