Parish Registration Form

Page 1

CO-CATHEDRAL OF ST. THERESA PARISH REGISTRATION CARD INSTRUCTIONS: Please fill out one card per house, with one line per person. Circle yes or no to questions about sacraments. If you know where and when you received these sacraments, please note this information. Need more space? Use the back of the card. Please fill out the card completely and return to the parish office or put into the collection basket. FIRST NAME

LAST NAME

BAPTIZED AS A ROMAN CATHOLIC YES

NO

Where: YES

NO NO

YES

YES YES

NO

YES

NO

YES

Where:

YES

OCCUPATION

DATE OF BIRTH

NO

YES

NO

Where: NO

YES

NO

Where: NO

Where: NO

CONFIRMED BY A CATHOLIC BISHOP Where:

Where:

Where: Where:

NO

Where:

Where: YES

YES

Where:

Where: YES

1ST COMMUNION IN CATH CHURCH

YES

NO

Where: NO

YES

NO

Where:

_______________________________________________________________________________________________________________ Street Address Apt # City Zip plus 4 ___________________________ Listed: Yes_____ or No _______ Telephone Number

___________________________ __________________________ Pager Number E-Mail Address

Marital Status: (4 one) ____ Married in Church ____ Married Civilly ____ Unmarried _____ Divorced ______ Widowed _____ Single _____ Separated Parish Envelope Number: _________ Date of Registration: ______________ Primary Language: ______________________________ I (we) _________ _________________________ (name) am(are) interested in serving St. Theresa’s parish in one of the following ways: (mark X to as many as apply) ____ Lector at Mass ____ Eucharistic Minister ____ Religious Educ Teacher ____ Youth Minister ___ Musician/Choir ____ Office Volunteer ____ Maintenance Volunteer ____ Usher _____ Fundraising _____ Bereavement ______ Clean Church ______Prayer Apostolate ____ Hospitality ____ Home Visitation ____ Altar Server. I (we) have the following skills/talents to offer St.Theresa’s parish (for example: Electrician, Carpenter, Plumber, Play the Guitar, etc.): ___________________________________________________________________________________________________________________________________________ .


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