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Parish Church of St. Christopher
Carrying Christ to Others for 70 Years
Mass Times
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Home
Contact Us
Sick List
Parish Registration
Directions
About
Staff
Our Mission
Electronic Giving Options
History
Parish Pastoral Council
Bulletins
Liturgy
Mass Times
Funeral Mass Packet
Sacraments
Baptism
Confirmation
Holy Eucharist
Reconciliation
Anointing of the Sick
Matrimony
Holy Orders
Ministries
Catholic Education
Liturgy and Music
Faith Formation
Social
Respect Life
CYO Athletics
Youth Ministry
Events & News
Welcome Home!
Calendar
News
Flocknote News
Photo Albums
Block Collection Update
Parish Registration
St Christopher's Parish welcomes all of you who are new to the area.
There are three ways that you can register in the parish:
1: Pick up a registration packet in the vestibule of the Church.
2: Stop by the Parish Office during normal business hours.
3: Complete and submit the on-line form below.
However you do it, please sign up and become an active member of St. Christopher’s. Our parish family is incomplete without you.
The maximum number of form submissions has been reached. This form is currently not available.
Family ID # (Office use only):
Please enter valid data.
How long have you lived at your present address?
REQUIRED
Please fill out this field.
Please enter valid data.
Date:
REQUIRED
Please fill out this field.
Please enter a date.
Family Name:
REQUIRED
Please fill out this field.
Please enter valid data.
Address:
REQUIRED
Please fill out this field.
Please enter valid data.
Apt #:
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Email
REQUIRED
Please fill out this field.
Please enter an email address.
Name(s) to whom mail should be addressed:
REQUIRED
Please fill out this field.
Please enter valid data.
Head(s) of Household
REQUIRED
If there are two heads of household, please enter a 2. You will then see a Head of Household #2 section that should be completd for that person. Heads of Household should not be entered into the Other Family Members section of this form
Please fill out this field.
Head of Household # 1
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Maiden Name (if applicable)
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Church Attendance
REQUIRED
(Select One)
Weekly
Monthly
Occassionally
Never
Please fill out this field.
Marital Status
REQUIRED
(Select One)
Single
Married
Widowed
Separated
Divorced
Remarried
Annulled/Remarried
Please fill out this field.
If Married: Church/Location and Date
Please enter valid data.
If you were not married in the Catholic Church, would you like to have your marriage validated (blessed)?
None
Yes
No
Head of Household # 2
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Maiden Name (if applicable)
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Church Attendance
REQUIRED
(Select One)
Weekly
Monthly
Occassionally
Never
Please fill out this field.
Marital Status
REQUIRED
(Select One)
Single
Married
Widowed
Separated
Divorced
Remarried
Annulled/Remarried
Please fill out this field.
If Married: Church/Location and Date
Please enter valid data.
If you were not married in the Catholic Church, would you like to have your marriage validated (blessed)?
None
Yes
No
Children Living at Home
REQUIRED
Please fill out this field.
Child 1
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
School (if applicable)
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Child 2
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
School (if applicable)
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Child 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
School (if applicable)
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Child 4
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
School (if applicable)
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Child 5
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
School (if applicable)
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
Other Family Members
REQUIRED
Please fill out this field.
Others Living with Family # 1
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
School / Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Others Living with Family # 2
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
School / Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Others Living with Family # 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
School / Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Others Living with Family # 4
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date (mm/dd/yyyy)
REQUIRED
Please fill out this field.
Please enter a date.
Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
Eucharist
Confirmation
None
School / Occupation
REQUIRED
Please fill out this field.
Please enter valid data.
Is there anything the pastoral staff can do for you at this time?
Does any member of your household have special needs? Please explain.
Is there a member of your family that is homebound and would like to receive Holy Communion regularly?
Is there someone interested in becoming a Catholic or completing their Christian initiation?
Please list any skills or talents you would like to share with our parish.
I have reviewed all of the information provided above and it is accurate.
I/my family wish to belong to the St Christopher's Parish as an active member(s).
I Agree
Please select this field.
Submit
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