Registration Form

St James Parish Registration Form

Date

Family Last Name

Street Address

City

Zip

Home Phone

Cell Phone

Email

Single Adult

Name

Birthdate

Occupation

Sacraments Received (Please mark all that apply and whether they were received at St. James)

BaptismBaptism at St. James1st Penance1st Penance at St. JamesCommunionCommunion at St. JamesConfirmationConfirmation at St. James

Marriage Status

SingleSep./Div.Widowed

Husband and Wife

Husband Name

Birthdate

Occupation

Phone

Religion

Sacraments Received (Please mark all that apply and whether they were received at St. James)

BaptismBaptism at St. James1st Penance1st Penance at St. JamesCommunionCommunion at St. JamesConfirmationConfirmation at St. James

Wife's Name

Birthdate

Occupation

Phone

Religion

Sacraments Received (Please mark all that apply and whether they were received at St. James)

BaptismBaptism at St. James1st Penance1st Penance at St. JamesCommunionCommunion at St. JamesConfirmationConfirmation at St. James

Place of Marriage

Date of Marriage

Married by a Catholic Priest?

YesNo

Children

Child 1

Name

Gender

MaleFemale

Birthdate

Sacraments Received

BaptismHoly CommunionConfirmation

Child 2

Name

Gender

MaleFemale

Birthdate

Sacraments Received

BaptismHoly CommunionConfirmation

Child 3

Name

Gender

MaleFemale

Birthdate

Sacraments Received

BaptismHoly CommunionConfirmation

Child 4

Name

Gender

MaleFemale

Birthdate

Sacraments Received

BaptismHoly CommunionConfirmation

Spiritual Life

Mass Attendance

WeeklySeldomNever

Do you support your Parish Financially?