St. John the Evangelist - New Parishioner Registration Form

If you prefer to mail your New Parishioner Registration click here to download the pdf version.

Personal Information

Full name (man)
Full name (woman)
Home Address
City, State, Zip
Home Phone
Mobile or cellular phone
Home e-mail address
Former Parish

Family Information:

Please fill in as much of the following information as you are able. List only the children living at home. Use the following code for marital status: CHU MAR-Married by a Catholic Priest; MAR-Married by other; SING-Single; WID-Widow/Widower; SEP-Separated; DIV-Divorced
Man
Woman
Child/Other
Child
First Name
Last/Maiden Name
Marital Status (use code)
Disability
Religion
Occupation
School attended/attending
Highest Grade/Degree
Gender: Male/Female
Birth date: Mo/Day/Yr
Baptized: Yes/No
First Communion: Yes/No
Confirmation: Yes/No
Married Date: Mo/Day/Yr

*Other can refer to a parent or another person living in the home other than a child. Additional space for children provided below.
Child
Child
Child
Child
First Name
Last/Maiden Name
Marital Status (use code)
Disability
Religion
Occupation
School attended/attending
Highest Grade/Degree
Gender: Male/Female
Birth date: Mo/Day/Yr
Baptized: Yes/No
First Communion: Yes/No
Confirmation: Yes/No
Married Date: Mo/Day/Yr

Our Parish is a community and we want you to be a part of it.
Please indicate the areas in which you may wish to participate.

Parish Organizations:

Religious Education Parish Committees Activities/Socials
Lector