ST. MATTHEW
THE EVANGELIST PARISH
REGISTRATION
FORM
REGISTRATION
DATE:_________________________
FAMILY NAME: _______________________________________________________________
ADDRESS:
____________________________________________________________________
________________________________________________________ZIP CODE:
____________
HOME PHONE:
___________________________ IN CASE OF EMERGENCY, PLEASE CALL:
NAME:
______________________________PHONE: ______________RELATIONSHIP: _____________
HUSBAND’S INFORMATION: WIFE’S INFORMATION:
FIRST NAME:
_____________________________ FIRST
& MAIDEN NAME: _____________________
DATE OF BIRTH:
__________________________ DATE OF
BIRTH: _____________________________
RELIGION: ________________________________ RELIGION: __________________________________
OCCUPATION:
____________________________
OCCUPATION: _______________________________
WHERE EMPLOYED:
______________________ WHERE EMPLOYED:
_________________________
SINGLE INFORMATION:
FIRST NAME:
___________________________ DATE OF
BIRTH: _______________________________
OCCUPATION:
__________________________ WHERE
EMPLOYED: ___________________________
MARITAL STATUS: MARRIED ____ WIDOW ____ WIDOWER
____ DIVORCED ____ SEPARATED ____
MARRIAGE: CATHOLIC ___
PROTESTANT ___ CIVIL ___ ANNIVERSARY
DATE: ___________
CHILDREN: Children who belong to our
parish by virtue of family registration MUST REGISTER SEPARATELY when they
reach twenty (20) years of age.
REGISTRATION IS ABSOLUTELY NECESSARY FOR ANYONE WHO WISHES TO BE MARRIED
OR HAVE A CHILD BAPTIZED.
NAME DATE
OF BIRTH SCHOOL ATTENDING GRADE
____________________________ _______________ __________________________________________
____________________________ _______________ __________________________________________
____________________________ _______________ __________________________________________
____________________________ _______________ __________________________________________
PLEASE CHECK BELOW OR USE
THE BOTTOME LINE TO EXPLAIN YOUR SITUATION.
____ A relative lives with
us and is bed-ridden and needs Communion brought to her/him.
____ Our child is mentally
challenged and cannot get to Mass or receive the Sacraments.
____ Our child has a
learning disability, has never been Baptized, made his/her First Communion or
Confirmation; needs special religious instruction.
____ We would like an
appointment to discuss getting our marriage validated.
____ Interested in joining
the Church; but need convert instructions.
____ Would like the bulletin
sent by mail; am disabled and unable to attend Mass on a regular basis.
__________________________________________________________________________________________
__________________________________________________________________________________________
PARISH ACTIVITIES WILLING TO PARTICIPATE? NEED INFORMATION?
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ADULT/CHILDREN CHOIR |
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CARPENTER |
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CCD PROGRAM
(TEACH/ASSIST/CHILDREN ATTEND) |
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CEMENT WORK |
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ELECTRICIAN |
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EME |
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GREETER |
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GUITAR CHOIR |
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KNIGHTS OF COLUMBUS |
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LECTOR |
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LUNCH PROGRAM |
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LUNCH PROGRAM |
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MONEY COUNTER |
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ORGANIST |
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OTHER |
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OTHER SKILLS |
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PAINTER |
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PIANO |
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PRO LIFE COMMITTEE |
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RCIA ( INTERESTED IN BECOMING
CATHOLIC) |
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ROOM PARENT |
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USHER |
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WOMEN WORKING FOR GOD
(WWG) |
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