Parish Registration Form

Please complete the following as completely as possible. This information will be kept in a confidential Parish Pastoral file.

HEAD OF HOUSEHOLD

MR MRS MISS MS Last Name First MI

Address City State Zip

Home Phone Subdivision Name

Occupation Place of Employment

Wk# Social Security #   Date of Birth

Email Address    Catholic? Yes No    Mass Preference 5 PM 8 AM 10 AM

MARITAL STATUS (CHECK AS MANY AS APPLY TO YOUR PRESENT/PERSONAL SITUATION)  

Married in the Church  Married other  Single  Divorced  Remarried   Widow

IF MARRIED, anniversary Date, including year of marriage

Are you a registered member of Presentation Parish?Yes No

If not, what is the name and city of your Previous Parish?

Were you active in your Previous Parish, beyond Mass attendance?YesNo

Do you intend to be active in St. Margaret's Parish, beyond Mass attendance?YesNo

SPOUSE

MR MRS MISS MS Last name if different First Name Mi

Date of Birth Social Security # Email Address

Occupation Place of Employment Wk #

Catholic? YesNo

MARITAL STATUS (CHECK AS MANY AS APPLY TO YOUR PRESENT/PERSONAL SITUATION)  

Married in the Church  Married other  Single  Divorced  Remarried  Widow

Were you active in your Previous Parish, beyond Mass attendance?YesNo

Do you intend to be active in St. Margaret's Parish, beyond Mass attendance?YesNo

CHILDREN  LIVING  AT  HOME

Children over twenty one years of age should themselves register as an individual adult.

Oldest Child

First name (and last if different)MI

SexMF         Date of Birth Social Security#

School attending:Grade

Baptized?YesNo Name of Church, City and State

First CommunionYesNo         First ConfessionYesNo          ConfirmedYesNo

Comments and Notes

First name (and last if different)MI

SexMF Date of Birth Social Security#

School attending:Grade

Baptized?YesNo         Name of Church, City and State

First CommunionYesNo      First ConfessionYesNo            ConfirmedYesNo

Comments and Notes

First name (and last if different)MI

SexMF                   Date of Birth Social Security#

School attending:Grade

Baptized?YesNo               Name of Church, City and State

First CommunionYesNo    First ConfessionYesNo     ConfirmedYesNo

Comments and Notes

SPECIAL ISSUES OR QUESTIONS

If you were not married in the church, would you be open to discussing the situation with a Priest or Pastoral staff member?YesNo

If someone listed above is not Catholic, might he/she accept an invitation to our Parish inquiry sessions?         YesNo

If a Child listed above is not baptized, would you welcome a call by a staff member to remedy the situation?  YesNo

“The body is one and has many members, but all the members, many though they are, are one body; and so it is with Christ”

 I Corinthians 12:12