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Parish Registration Form

Membership Information

In this section we collect information about membership and envelopes
Are you a new parishioner?(Required)
Are you updating information?(Required)
Do you currently receive envelopes from us?
Do you want to receive envelopes or would you prefer information about online giving?(Required)
Would you like to receive Flocknotes? (Email & Text notifications about church related events)(Required)
Which Parish are you trying to join?(Required)

Contact Information

In this section we collect information on how to contact you
Name(Required)
Address(Required)
Date of Birth(Required)
Spouse Name(Required)
Spouse Date of Birth(Required)
Are you interested in volunteering in a Parish Ministry?(Required)
Do you have children and/or other adults living at home with you(Required)
Children would be classified as those 18 years old or younger

Child #1 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Child #2 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Child #3 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Child #4 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Child #5 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Child #6 Information

Name(Required)
Date of Birth(Required)
Gender(Required)
This child has received the following Sacraments

Other Adults Living in The Home

In this section we collect information about other adults who live in your home
Other Adults Living In Home Information(Required)
Name
Relationship
Date of Birth (mm/dd/yyyy)
 
Click the plus button on the right side to add another row to input information for additional entries

Sacraments

In this section, let us know if anyone in your home needs to receive any Sacraments, including Marriage, Convalidation, RCIA, Baptism, First Holy Communion and Confirmation.
Does anyone in your household need to receive a Sacrament?

Additional Information

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This field is for validation purposes and should be left unchanged.
Catholic Family
P: Holy Spirit, Winfield (219) 661-0644
St Helen, Hebron (219) 996-4611
St. Mary, Kouts (219) 766-3680
USCCB Vatican Safe Environment RCIA Becoming Catholic

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