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 Date Married in Church Married in City/State Previous Parish Previous City/State Male Adult MemberName First Middle Last Nickname 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 Catholic Baptized? Yes No Occupation Employer Work PhoneMobile PhonePreferred Email Female Adult MemberName First Middle Last (Maiden) Nickname 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 Catholic Baptized? Yes No Occupation Employer Work 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 Catholic Baptized? Yes No Current Grade in School Name of School Child #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 Catholic Baptized? Yes No Current Grade in School Name of School Child #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 Catholic Baptized? Yes No Current Grade in School Name of School Child #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 Catholic Baptized? Yes No Current Grade in School Name of School Photo 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 Initials AdditionalAdditional information to shareIs there anything else you'd like to share about you or your family?
