Parish Registration Form

Complete the online version below or click here to fill out the PDF version of the form and print/scan/email to amayville.stvparish@gmail.com.

CAPTCHA

Family Information

Home Address(Required)

Contribution Envelopes(Required)

Please explain

Head of Household Information

Name(Required)

Birth Date(Required)

Email(Required)

Phone(Required)

Occupation / Employer(Required)

1st Language / 2nd Language(Required)

Number of Additional Family Members / Children(Required)

Please enter a number from 0 to 7.

Baptized(Required)

Yes

Place of Baptism (Church Name & City/State)

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Marital Status(Required)

Church of Marriage(Required)

Celebrant Name(Required)

Date(Required)

Spouse Information

Name(Required)

Birth Date(Required)

Email(Required)

Phone(Required)

Occupation / Employer(Required)

1st Language / 2nd Language(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #1

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #2

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #3

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #4

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #5

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #6

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Family Member #7

Name(Required)

Relationship to Head of Household(Required)

Gender(Required)

Birthdate(Required)

Birthplace(Required)

Baptized(Required)

Yes

Place of Baptism

Date of Baptism

Sacraments Received (Catholic Only)

Please list if the sacraments that you have received (Reconciliation, 1st Communion, Confirmation)
Please click the plus button on the right to add more rows.

Name of Sacrament

Date Received

Additional Information

Please Add Any Additional Information

Name

This field is for validation purposes and should be left unchanged.

Parish Registration Form

Family Information

Head of Household Information

Spouse Information

Additional Family Member #1

Additional Family Member #2

Additional Family Member #3

Additional Family Member #4

Additional Family Member #5

Additional Family Member #6

Additional Family Member #7

Additional Information

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