St. Paul Parish Registration Form

New Signup:   Update:   No longer members
Family Name:
Envelope No. (if assigned):
Street:
City & State:
Zip Code:
Phone No.:   unlisted
Primary Email:   none
Home:   Own   Rent 
Name: First Middle Maiden
Relationship
Date of Birth: mm/dd/yyyy
Gender:
M   F M   F
Religion:
Place Baptized:
City/State:
Baptism
Y   N Y   N
1st Communion
Y   N Y   N
Confirmation:
Y   N Y   N
Marital Status:
Date Married:
Married by a Priest:
Y   N Y   N
Church Where Married:
City Where Married:
Parish Registered:
Parish Attend:
Cell Phone:
Work Phone:
Email:
Attend Mass:
Regularly:   Seldom: 
Never: 
Regularly:   Seldom: 
Never: 
Occupation:
Employer:
Talents/Skills:
Highest Grade Comleted
Language:
Ethnicity:
CHILDREN LIVING AT THIS ADDRESS:
Name: First Middle Last
Relationship
Religion
Ethnicity:
Name of School/Home School/Employer:
Attend CCD:
Y   N Y   N Y   N Y   N
Present Grade:
Gender:
M   F M   F M   F M   F
Date of Birth: mm/dd/yyyy
SACRAMENTS:
Place Baptized:
1st Communion
Y   N Y   N Y   N Y   N
Confirmation:
Y   N Y   N Y   N Y   N


If you have preschool children:
Do you intend sending them to Parish School?  Y   N

Are there home bound children/adults in the household?  Y   N

Does Mass present a problem to any member of the household? i.e. transportation, illness, no one to stay with homebound... Explain

If you have specific skills:
Would you be willing to help occasionally?  Y   N

Would it be helpful to have a pastoral contact?  Y   N

Is there any other way in which the parish could assist?
i.e. communion call, parish visitor, receive parish bulletin, etc.