Parish Registration Form

|||

Facebook Phone

Parish Registration Form
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Info:
  
  Registration Date REQUIRED Please fill out this field. Please enter a date.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Primary Family Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Do you want contribution envelopes? REQUIRED Please fill out this field.
  
  Details about each family member:
  
  NOTE: If you are Catholic, please enter all sacramental information, it is required for registration.
  
  How Many Family Members? REQUIRED
  Be sure to enter the information for each member of your family before submitting. Increase number as new members are added. If more than 6 members in family, please contact the parish office
  Please fill out this field.
  
  Member 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Member 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Member 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Member 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Member 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Member 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Marital Status REQUIRED Please fill out this field.
  
  If married, date of wedding Please enter a date.
  
  If applicable, maiden name Please enter valid data.
  
  If a Catholic Wedding, Name of Church & Location Maximum 50 characters Please enter valid data.
  
  If not a Catholic Wedding, Name & Location of Venue Please enter valid data.
  
  Household Status REQUIRED Please fill out this field.
  
  If Other, what is the relationship? Maximum 30 characters Please enter valid data.
  
  Religion REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.
  
  Preferred Phone (if different from family phone) Maximum 20 characters Please enter a phone number.
  
  Preferred Email Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Birth City & State Please enter valid data.
  
  Gender REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date Please enter a date.
  
  Baptism Church Name & Location Maximum 50 characters Please enter valid data.
  
  First Communion Date Please enter a date.
  
  First Communion Church Name & Location Maximum 50 characters Please enter valid data.
  
  Confirmation Date Please enter a date.
  
  Confirmation Church Name & Location Maximum 50 characters Please enter valid data.
  
  Occupation or Retired Maximum 15 characters Please enter valid data.
  
  Name of Employer Maximum 25 characters Please enter valid data.
  
  Comments
  
  Be sure to enter the information for each member of your family before submitting. You must click the Submit button when finished to save your entries and send them to our parish office.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- Final Instructions
  
  Be sure to enter the information for each member of the family. Please include that before submitting.
  
  When you are finished, send it to our parish office by clicking the Submit button. You will receive an email confirmation of your registration.
  
  You may contact the parish office anytime to update the information submitted.
  
  Thank you for registering with Saint Thomas More Church. Welcome to our parish!
- For Questions or Assistance:
  
  Kate Roelker
  
  (513) 753-2550
  kroelkersttm.org

Details about each family member: