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:
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
Adult 1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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:
Adult 1 was baptized at this church (please include city ie: Resurrection, Evansville):
Adult 1 was confirmed in the Catholic Church:
I was confirmed at this church (please include city ie: Resurrection, Evansville):
Adult 1 Occupation
Adult 1 Employer
Marital Status
Type of Marriage
Date of Marriage

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Adult 2 full name

PrefixFirst NameMiddle NameLast NameSuffix
Adult 2 nick name

First NameLast Name
Adult 2 Gender
Adult 2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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:
Adult 2 was baptized at this church (please include city ie: Resurrection, Evansville):
Adult 2 was confirmed in the Catholic Church:
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:
How many children are you registering?
Child 1 Full Name

First NameMiddle NameLast Name
Child 1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child 1 Gender
Child 1 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 2 Gender
Child 2 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 3 Gender
Child 3 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 4 Gender
Child 4 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 5 Gender
Child 5 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 6 Gender
Child 6 was 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
2 digit month, 2 digit day, 4 digit yearDate
Child 7 Gender
Child 7 was 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
What were the primary reasons you chose Resurrection Parish? (Optional – Select all that apply.)

Other
Should be Empty: