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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 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 Please fill out this field.
  
  Marital Status REQUIRED 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)?
  
  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 Please fill out this field.
  
  Marital Status REQUIRED 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)?
  
  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

Parish Church of St. Christopher

Carrying Christ to Others for 70 Years

Parish Registration