Resurrection New Parishioner Registration Form

Resurrection New Parishioner Registration Form

We're so glad you're interested in making Resurrection your parish home! Please complete the form below to begin the registration process. Your completed form will be sent to our office staff. A staff member will reach out to you to complete your registration and to officially welcome you here!
I am registering for:*

Myself onlyMyself and SpouseMyself and ChildrenFamily
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 1 full name*

PrefixFirst NameMiddle NameLast NameSuffix
Adult 1 nick name

First NameLast Name
Adult 1 Gender*

MaleFemale
Adult 1 Date of Birth*

MonthDayYear
Date
Adult 1 Father's Name*

First NameLast Name
Adult 1 Mother's Name*

First NameLast Name
Adult 1 Cell Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Adult 1 Email*
example@example.com
Adult 1 Religion*
Church where you presently worship:*
Adult 1 was baptized:*

CatholicOther Christian ChurchI have not been baptized
Adult 1 was baptized at this church (please include city ie: Resurrection, Evansville):
Adult 1 was confirmed in the Catholic Church:*

YesNo
I was confirmed at this church (please include city ie: Resurrection, Evansville):
Adult 1 Occupation*
Adult 1 Employer*
Marital Status*

SingleMarriedDivorcedWidowed
Type of Marriage

CatholicOther ChristianCivilOther
Date of Marriage

MonthDayYear
Date
Adult 2 full name*

PrefixFirst NameMiddle NameLast NameSuffix
Adult 2 nick name

First NameLast Name
Adult 2 Gender*

MaleFemale
Adult 2 Date of Birth*

MonthDayYear
Date
Adult 2 Father's Name*

First NameLast Name
Adult 2 Mother's Name*

First NameLast Name
Adult 2 Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Adult 2 Email*
example@example.com
Adult 2 Religion*
Church where you presently worship:*
Adult 2 was baptized:*

CatholicOther Christian ChurchI have not been baptized
Adult 2 was baptized at this church (please include city ie: Resurrection, Evansville):
Adult 2 was confirmed in the Catholic Church:*

YesNo
I was confirmed at this church (please include city ie: Resurrection, Evansville):
Adult 2 Occupation*
Adult 2 Employer*
I would like to support the parish financially by the following method:*

Please send me church envelopes.Please send me a link to contribute electronically (this is done through Realm, our Parish Data System.)Please contact me to sign up for direct debit from my bank account.I am not able to support the parish at this time.
How many children are you registering?
Child 1 Full Name*

First NameMiddle NameLast Name
Child 1 Date of Birth

MonthDayYear
Date
Child 1 Gender*

MaleFemale
Child 1 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 1 was baptized at this church (please include city ie: Resurrection, Evansville):
Child 1's Parents (If different from above):
School Child 1 Attends:
Child 2 Full Name*

First NameMiddle NameLast Name
Child 2 Date of Birth

MonthDayYear
Date
Child 2 Gender*

MaleFemale
Child 2 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 2 was baptized at this church (please include city ie: Resurrection, Evansville):
Child 2's Parents (If different from above):
School Child 2 Attends:
Child 3 Full Name*

First NameMiddle NameLast Name
Child 3 Date of Birth

MonthDayYear
Date
Child 3 Gender*

MaleFemale
Child 3 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 3 was baptized at this church (please include city ie: Resurrection, Evansville):
Child 3's Parents (If different from above):
School Child 3 Attends:
Child 4 Full Name*

First NameMiddle NameLast Name
Child 4 Date of Birth

MonthDayYear
Date
Child 4 Gender*

MaleFemale
Child 4 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 4 was baptized at this church (please include city ie: Resurrection, Evansville):
Child 4's Parents (If different from above):
School Child 4 Attends:
Child 5 Full Name*

First NameMiddle NameLast Name
Child 5 Date of Birth

MonthDayYear
Date
Child 5 Gender*

MaleFemale
Child 5 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 5 was baptized at this church (please include city ie: Resurrection, Evansville):
Child 5's Parents (If different from above):
School Child 5 Attends:
Child 6 Full Name*

First NameMiddle NameLast Name
Child 6 Date of Birth

MonthDayYear
Date
Child 6 Gender*

MaleFemale
Child 6 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 6 was baptized at this church (please include city ie: Resurrection, Evansville!):
Child 6's Parents (If different from above):
School Child 6 Attends:
Child 7 Full Name*

First NameMiddle NameLast Name
Child 7 Date of Birth

MonthDayYear
Date
Child 7 Gender*

MaleFemale
Child 7 was baptized:*

CatholicOther Christian ChurchHas not been baptized
Child 7 was baptized at this church (please include city ie: Resurrection, Evansville!):
Child 7's Parents (If different from above):
School Child 7 Attends:
Preferred Contact method

Adult 1 cell phoneAdult 1 emailAdult 2 cell phoneAdult 2 email
Should be Empty: