00 – Preview – Parish Registration Form Household InformationAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Status Married Single Engaged Widowed Other Marriage DateMarried in ChurchMarried in City/StatePrevious ParishPrevious City/StateMale Adult MemberName First Middle Last NicknameDate of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No OccupationEmployerWork PhoneMobile PhonePreferred Email Female Adult MemberName First Middle Last (Maiden) NicknameDate of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No OccupationEmployerWork PhoneMobile PhonePreferred Email ChildrenChild #1Name First Middle Last Gender Male Female Date of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No Current Grade in SchoolName of SchoolChild #2Name First Middle Last Gender Male Female Date of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No Current Grade in SchoolName of SchoolChild #3Name First Middle Last Gender Male Female Date of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No Current Grade in SchoolName of SchoolChild #4Name First Middle Last Gender Male Female Date of Birth MM slash DD slash YYYY Catholic Yes No BaptismWere you Baptized?DateLocationCommunionDid you receive First Holy Communion?DateLocationConfirmationDid your receive Confirmation?DateLocationOther DenominationIf not CatholicBaptized? Yes No Current Grade in SchoolName of SchoolPhoto ReleaseIt is common practice for Sacred Heart Catholic Church to use photographs on our parish website and in parish publications. I give my consent for my child(ren) listed on this form to be photographed with the understanding that these photos may be used in parish publications including on the website.I Consent(Required) Yes No Parent InitialsAdditionalAdditional information to shareIs there anything else you'd like to share about you or your family?
