New Parishioner Registration At which parish are you registering? * Assumption St. Bartholomew St. Bernard St. Clare St. Vivian Household Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Head of Household Information Full Legal Name * First Middle Last Maiden Name * If this doesn't apply to you, type N/A Date of Birth * MM DD YYYY Gender * Male Female Email Phone * (###) ### #### Secondary Phone (###) ### #### Religion * Sacraments * Please indicate which of your sacraments you have received. Baptism First Reconciliation First Eucharist Confirmation Holy Matrimony Holy Orders Current Marital Status * Single Catholic Marriage Christian Marriage Civil Marriage Widowed Separated Divorced Annulled Sacrament Dates & Locations * Please list the date (or approximate date) you received each sacrament and the location where it was received (Church name and address). Spouse Information Would you like to add a spouse? * Yes No Children Information Children 18 years and older should fill out a separate form, as they are considered their own household. Add a child * Yes No Add a second child Yes Add a third child Yes Add a fourth child Yes Add a fifth child Yes Add a sixth child Yes Welcome to our Family of Parishes! If you have any questions, please don’t hesitate to reach out to the Family of Parishes Office.
