Parish Registration Form

Today's Date REQUIRED Please fill out this field. Please enter valid data.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Home Address Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Former Parish Name, City, State REQUIRED Please fill out this field. Please enter valid data.

Have you informed them of your move? REQUIRED Yes No Please fill out this field.

Spoken Languages Please enter valid data.

Do you want to receive Church Offering Envelopes?

Family Information

First Name, Middle Name, Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth xx/xx/xxxx REQUIRED Please fill out this field. Please enter valid data.

Sex Male Female

Marital Status

Religion REQUIRED Please fill out this field. Please enter valid data.

Sacraments Received REQUIRED Baptism First Communion Confirmation Marriage Please fill out this field.

If Married: Spouses: First Name, Middle Name, Last Name Please enter valid data.

Date of Birth xx/xx/xxxx Please enter valid data.

Sex Male Female

Email Please enter an email address.

Religion Please enter valid data.

Sacraments Received Baptism First Communion Confirmation Marriage

Holy Trinity Catholic Church