Church Registration Form This form is for persons to register for St.Joseph or St. Mary Churches. Select Church(Required) St. Joseph St. Mary Do You Want Envelopes?(Required) Yes No Registry Date Month Day Year Your Name(Required) First Last Your Address Street Address Address Line 2 City ZIP Code Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Degree or GradeMale or Female(Required) M F Baptism Yes No Birthdate MM slash DD slash YYYY Baptism Date and PlaceFirst Eucharist Yes No Confession Date and PlaceWedding Date/PlaceMarried by Priest Yes No Married(Required) Yes No Spouse(Required) Yes No Name(Required) First Last Male or Female(Required) Male Female Birth Date(Required) MM slash DD slash YYYY Baptism(Required) Yes No Baptism Place and DateFirst Eucharist(Required) Yes No Confirmation Date and PlaceWedding Date and PlaceMarried by Priest(Required) Yes No Email FamilyChildren Child 1 Child 2 Child 3 Child 4 Select each box for the amount of children you have. Example if you have 2 children select box 1 and 2.1st Child InformationChild 1 NameChild 1 Birth Date(Required) MM slash DD slash YYYY Male or Female(Required)MaleFemaleBaptism(Required) Yes No Baptismal place and date(Required)First Eucharist(Required) Yes No Confirmation Date and Place2nd Child InformationChild 2 NameChild 2 Birth Date(Required) MM slash DD slash YYYY Male or Female(Required)MaleFemaleBaptism(Required) Yes No First Eucharist(Required) Yes No Baptismal place and date(Required)Confirmation Date and Place3rd Child InformationChild 3 NameChild 3 Birth Date(Required) MM slash DD slash YYYY Male or Female(Required)MaleFemaleBaptism(Required) Yes No First Eucharist(Required) Yes No Baptismal place and date(Required)Confirmation Date and Place4th Child InformationChild 4 NameChild 4 Birth Date(Required) MM slash DD slash YYYY Male or Female(Required)MaleFemaleBaptism(Required) Yes No First Eucharist(Required) Yes No Baptismal place and date(Required)Confirmation Date and Place
