Parish Registration Form

ST. THOMAS AQUINAS PARISH REGISTRATION FORM

Welcome to St. Thomas Aquinas Parish! We are delighted to have you join our large parish family! Please gather your sacramental information before filling out the form below as it is quite lengthy and we'd hate for you to have to start over! Alternatively, you may print this screen, fill it out, and turn it into the main office or drop it in the Sunday offering boxes. Thank you and God bless you!

(* denotes required fields)

GENERAL FAMILY INFORMATION

Last Name *

Please enter the family's last name.

First Names *

Please enter the first names of all family members.

Mailing Name *

Please enter the preferred mailing name. (i.e. Mr. & Mrs. John Doe)

Address *

Please enter your mailing address.

Address 2

Please enter your secondary address (if applicable).

City *

Please enter your city.

State *

Please select your state.

Zip *

Please enter your zip code.

Phone Number *

Please enter your families primary phone number, area code first.

Emergency Phone *

Please enter a phone number to contact the family in an emergency.

Email *

Please enter the families email address.

Envelope Number

Please enter your family's envelope number. (These are assigned byt he parish office. Therefore, most new registrations will NOT have this number)

Registering for: * St. Thomas Aquinas Parish St. John Vianney Mission

Please select one.

INDIVIDUAL MEMBER INFORMATION

INDIVIDUAL 1

Role *

Please enter this individual's role. (i.e. Head of Household, Wife, etc.)

First Name *

Please enter this individual's first name.

Nick Name

Please enter this individual's nickname (if preferred).

Gender * MALE FEMALE

Please select this individual's gender.

Maiden Name

Please enter this individual's maiden name (if applicable).

DOB (mm/dd/yyyy) *

Please enter this individual's date of birth in (mm/dd/yyyy)format.

Email *

Please enter this individual's email address.

Work Phone

Please enter this individual's work phone number.

Cell Phone

Please enter this individual's cell phone number.

First Language

Please enter this individual's first language.

Occupation & Employer

Please enter this individual's occupation and employer.

Sacramental Information * Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select ALL the appropriate boxes in regards to the sacraments this individual has received.

Dates Sacraments Received *

To the best of your knowledge, please enter the dates these sacraments were received.

Marital Status *

Please enter this individual's marital status (i.e. single, married, separated, divorced, widowed, etc.)

Valid Catholic Marriage? * YES NO N/A

If applicable, was this person married by a Catholic priest or deacon?

INDIVIDUAL 2

Role

Please enter this individual's role. (i.e. Head of Household, Wife, etc.)

First Name

Please enter this individual's first name.

Nick Name

Please enter this individual's nick name (if preferred).

Gender: MALE FEMALE

Please select this individual's gender.

Maiden Name

Please enter this individual's maiden name (if applicable).

DOB (mm/dd/yyyy)

Please enter this individual's date of birth in mm/dd/yyyy format.

Please enter this individual's email address.

Work Phone

Please enter this individual's work phone number.

Cell Phone

Please enter this individual's cell phone number.

First Language

Please enter this individual's first language.

Occupation & Employer

Please enter this individual's occupation and employer.

Sacramental Information Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select all the appropriate boxes in regards to the sacraments this individual has received.

Dates Sacraments Received

To the best of your knowledge, please enter the dates these sacraments were received.

Marital Status

Please enter this individual's marital status (i.e. single, married, separated, divorced, widowed, etc.)

Valid Catholic Marriage? YES NO N/A

If applicable, was this individual married by a Catholic priest or deacon?

DEPENDENT INFORMATION

DEPENDENT 1

Relationship to Head of Household

Please enter this dependent's relationship to Head of Household. (i.e. son, daughter, etc.)

First Name

Please enter this dependent's first name.

Last Name

Please enter this dependent's last name.

Gender MALE FEMALE

Please select this dependent's gender.

DOB (mm/dd/yyyy)

Please enter this dependent's date of birth in mm/dd/yyyy format.

Birthplace

Please enter the place of birth of this dependent.

High School Graduation Year

Please enter this dependent's actual or anticipated year of high school graduation.

School

Please enter this dependent's current school.

First Language

Please enter this dependent's first language.

Sacramental Information Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select all the appropriate boxes in regards to the sacraments this dependent has received.

Dates Sacraments Received

To the best of your knowledge, please enter the dates these sacraments were received.

DEPENDENT 2

Relationship to Head of Household

Please enter this individual's relationship to the Head of Household. (i.e. son, daughter, etc.)

First Name

Please enter this dependent's first name.

Last Name

Please enter this dependent's last name.

Gender MALE FEMALE

Please select this dependent's gender.

DOB (mm/dd/yyyy)

Please enter this dependent's date of birth in mm/dd/yyyy format.

Birthplace

Please enter this dependent's place of birth.

High School Graduation Year

Please enter this dependent's actual or anticipated year of high school graduation.

School

Please enter this dependent's current school.

First Language

Please enter this dependent's first language.

Sacramental Information Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select all the appropriate boxes in regards to the sacraments this dependent has received.

Dates Sacraments Received

To the best of your knowledge, please enter the dates these sacraments were received.

DEPENDENT 3

Relationship to Head of Household

Please enter this dependent's relationship to the Head of Household. (i.e. son, daughter, etc.)

First Name

Please enter this dependent's first name.

Last Name

Please enter this dependent's last name.

Gender MALE FEMALE

Please select this dependent's gender.

DOB (mm/dd/yyyy)

Please enter this dependent's date of birth in mm/dd/yyyy format.

Birthplace

Please enter this dependent's place of birth.

High School Graduation Year

Please enter this dependent's actual or anticipated year of high school graduation.

School

Please enter this dependent's current school.

First Language

Please enter this dependent's first language.

Sacramental Information Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select all the appropriate boxes in regards to the sacraments this individual has received.

Dates Sacraments Received

To the best of your knowledge, please enter the dates these sacraments were received.

DEPENDENT 4

Relationship to Head of Household

Please enter this dependent's relationship to the Head of Household. (i.e. son, daughter, etc. )

First Name

Please enter this dependent's first name.

Last Name

Please enter this dependent's last name.

Gender MALE FEMALE

Please select this dependent's gender.

DOB (mm/dd/yyyy)

Please enter this dependent's date of birth in mm/dd/yyyy format.

Birthplace

Please enter this dependent's place of birth.

High School Graduation Year

Please enter this dependent's actual or anticipated year of high school graduation.

School

Please enter this dependent's current school.

First Language

Please enter this dependent's first language.

Sacramental Information Non-Catholic Catholic Baptism Confession First Communion Confirmation

Please select all the appropriate boxes in regards to the sacraments this dependent has received.

Dates Sacraments Received

To the best of your knowledge, please enter the dates these sacraments were received.

Please use the following section for any additional dependent information, clarifications, questions, or comments. Thank you and may God bless you!

Spam Prevention *

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