Parish Registration Form -- Our Lady of the Presentation Parish

General Family Information

Family Last name*

Address*

Street AddressCityStateZip Code

Phone*

Email

What date did you or your family move into this parish?

Head Of Household

Name*

PrefixFirstLastSuffix

Date of Birth*

Catholic*

Yes
No

Occupation

Place of Employment

Work Phone

Cell Phone

Email

Current Marital Status

Anniversary Date

Data For Spouse

Name*

PrefixFirstLastSuffix

Date of Birth*

Catholic*

Yes
No

Occupation

Place of Employment

Work Phone

Cell Phone

Email

Special Issues or Questions

If you were not married in the Church, would you be open to discussing the situation with a Priest or Pastoral Staff member?

Yes
No

If someone listed above is not presently Catholic, does he/she have any interest in becoming Catholic and would he/she welcome a call by a parish staff person to discuss?

Yes
No

If a child listed has not been baptized, would you welcome a call by a staff member to discuss?

Yes
No

We will be contact you for our next welcome gathering. This is a most important part of your Registration in this Faith Community.

Our Lady of the Presentation Parish