St Peter Catholic Church Registration/Census Form

Instructions: Please complete the form below. When you have entered the information click on the Submit button. If you would like to print the information click on the Print button before you click on the Submit button. The information will be emailed to the parish secretary. Return to home page

 

Check one: Are you updating your information or is this a new registration ?

The following information pertains to the Head of Household

Dr. Mr. Mrs. Miss   Military Rank: 
Last Name: First Name M.I. Date of Birth: 
Street Address:  
City, State, Zip:  , ,
Phone: Home:   Work:   Cell: 
Email Address:   Sex:  Male  Female
Marital Status:   Single  Married (Date: )  Divorced  Widowed
Married in Catholic Church:  Yes  No  
Baptized:  
Date if Known:

Communion:
Date If Known
Confirmation:
Date If Known
Employed by and/or School Attending: 
Occupation/Position:  Catholic:    Yes  No
Education (Highest level completed):  
Interests/Ministries: 

The following information pertains to the spouse or relative living with you.

Dr. Mr. Mrs. Miss   Military Rank: 

Relationship to head of household: Spouse Child Parent
Last Name: First Name: M.I.   Date of Birth: 
Work Phone:   Cell Phone:
Email Address:   Sex:  Male  Female
Baptized:  
Date if Known:

Communion:
Date If Known
Confirmation:
Date If Known
Employed by and/or School Attending:
Occupation/Position: Catholic:  Yes  No
Education (Highest level completed):  

Interests/Ministries:

Other members of your household:

Name (Include last only if different)
M/F
Date of Birth
Current School
Grade
Check if Baptized
Check if First Communion
Check if Confirmation

Comments or Questions:
    
 
Return to home page