PARISH REGISTRATION FORM FOR

ST. ELIZABETH ANN SETON CATHOLIC CHURCH

All individuals and families who worship with us are asked to register with the parish. Registration helps the parish priest and community know their faith family. Registration helps in determining that parishioners are active and ready for Baptism of an infant, are able to be godparents or sponsors, may qualify for Catholic school subsidies or reduced fees for parish religion programs, and are supportive of the parish in time, talent and treasure.

DATE:________ID/ENVELOPE NUMBER:_______ LAST NAME_____________________

STREET ADDRESS:_________________________________ CITY:_____________________

ZIP CODE:______________ PHONE NUMBER:_______________________

GEOGRAPHICAL AREA/NEIGHBORHOOD:____________________________________

HEAD OF HOUSEHOLD

NAME:_________________ MARITAL STATUS:___________ RELIGION:______________

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

OCCUPATION:______________________ BUSINESS PHONE:________________

SPOUSE

NAME:_________________ MARRIAGE DATE:___________ RELIGION:_______________

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

OCCUPATION:______________________ BUSINESS PHONE:________________

DEPENDENTS

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________

NAME:_______________ BAPTIZED?____ FIRST COMMUNION?____ CONFIRMED?____

NATIONALITY:___________________ DISABILITY:________________________________

LANGUAGE:_____________________ BIRTHDATE:______________ GENDER:_________