St. Joseph's Catholic Church Registration Form

Registration Type	New Member Existing Member Update
Date (mm/dd/yyyy)
Family Name
Address
Zip
Phone: Home
Phone: Office (His)
Phone: Office (Hers)
E-mail Address
Years/Months Lived in Parish
Date of Marriage (mm/dd/yyyy)
Husband
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
Occupation
Wife
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
Occupation
Single
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
Occupation
child #1
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
School
Grade
Occupation
child #2
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
School
Grade
Occupation
child #3
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
School
Grade
Occupation
child #4
Christian Name
Birth Date (mm/dd/yyyy)
Religion
Baptism	Yes No
First Communion	Yes No
Confirmation	Yes No
School
Grade
Occupation

liturgy
	Sacristan
	Lay Minister of Holy Communion
	Lector
	Usher/Minister of Hospitality
	Mass Server
	Music Choir
	Offertory Participant
social concern
	Homeless Ministry
	Mandarin Food Bank
	Meals on Wheels
Organizations
	Youth and Family Ministry
	Men's Club
	Council of Catholic Women
	Young at Heart (Over 50)
	Home & School Association
	Scouting Program
	Widows/Widowers
	Singles Club (Over 20)
	Married Couples Ministry
	Hispanic Ministry
	Parish Nurses
education
	PREP Teacher or Aid
	Adult Education
	Bible Study
	Nursery During Mass
	Wee Worship (ages 2-4)
church programs
	Christ Renews His Parish
	Marriage Encounter
	Prayer Group
	Elizabeth Ministry
other
	Church Grounds
	Office Assistant
	Building Repair and Maintenance
	Welcome New Members to the Parish
	Religious Article Shop
	Bazaar
	Resource Library
	Respect Life
	Reflections Newsletter
	Career Connections

Do you wish to RECEIVE CHURCH OFFERING envelopeS?
Yes No If yes, please use the temporary/visitor envelopes found at the back of the church until permanent envelopes arrive (about six weeks).
Additional Comments: