Sacred Heart Parish Registration

Important: Please scroll to bottom for the SUBMIT button after entering your information.

Your Name, First, and Last, please include preferred title , and suffix, if any. Please enter valid data.

Spouse's Name Please enter valid data.

Preferred Form for Your Family Name to appear on Mailing Labels Please enter valid data.

Your Street Address, City, Zip Code Please enter valid data.

Mailing Address, if different from above Please enter valid data.

Primary Phone Please enter valid data.

Second Phone, if any Please enter valid data.

Email address Please enter valid data.

Family Status Single Single Parent Catholic Marriage Married Separated/Divorced Widowed Other

If married, date and location (parish/other, city & state) of marriage.

Are there particular areas where Sacred Heart might be of service to you and your family?

Is there a particular area of our parish life where you might like to be involved? Our web site describes some possibilities, and we welcome your own ideas.

Parish Financial Support I/we already receive and use parish support envelopes. Please send parish envelopes for parish support. I prefer to set up Electronic Fund Transfers.

Family Census:

The following information is requested for pastoral planning and management of Sacramental Records. If you have more family members than this form is set up for, please complete and submit one form, then submit a second form with only your Names (1st Box) on the top section, and the remaining family member information below.

Adult 1:

Adult 1: Name Please enter valid data.

Adult 1: Maiden Name (if applicable) Please enter valid data.

Adult 1: Date of Birth Please enter valid data.

Adult 1: Education Level Grade School High School College Post-Grad

Adult 1: Second Language? Please enter valid data.

Adult 1: Baptism Denomination and Date (approximate) Please enter valid data.

Adult 1: Sacramental History Eucharist Confirmation Profession of Faith (RCIA)

Adult 1: Are there special circumstances or needs which you would like us to be aware of?

Adult 2:

Adult 2: Name Please enter valid data.

Adult 2: Maiden Name (if applicable) Please enter valid data.

Adult 2: Date of Birth Please enter valid data.

Adult 2: Education Level Grade School High School College Post-Grad

Adult 2: Second Language? Please enter valid data.

Adult 2: Baptism Denomination and Date (approximate) Please enter valid data.

Adult 2: Sacramental History Eucharist Confirmation Profession of Faith (RCIA)

Adult 2: Are there special circumstances or needs which you would like us to be aware of?

Child 1:

Child 1: Full Name Please enter valid data.

Child 1: Birth Date Please enter valid data.

Child 1: Baptized? If so, year? (approximate) Please enter valid data.

Child 1: 1st Eucharist? If so, year? (approximate) Please enter valid data.

Child 1: Confirmation? If so, year? (approximate) Please enter valid data.

Child 1 : Are there special circumstances or needs which you would like us to be aware of?

Child 2:

Child 2: Full Name Please enter valid data.

Child 2: Birth Date Please enter valid data.

Child 2: Baptized? If so, year? (approximate) Please enter valid data.

Child 2: 1st Eucharist? If so, year? (approximate) Please enter valid data.

Child 2: Confirmation? If so, year? (approximate) Please enter valid data.

Child 2 : Are there special circumstances or needs which you would like us to be aware of?

Child 3:

Child 3: Full Name Please enter valid data.

Child 3: Birth Date Please enter valid data.

Child 3: Baptized? If so, year? (approximate) Please enter valid data.

Child 3: 1st Eucharist? If so, year? (approximate) Please enter valid data.

Child 3: Confirmation? If so, year? (approximate) Please enter valid data.

Child 3: Are there special circumstances or needs which you would like us to be aware of?

Child 4:

Child 4: Full Name Please enter valid data.

Child 4: Birth Date Please enter valid data.

Child 4: Baptized? If so, year? (approximate) Please enter valid data.

Child 4: 1st Eucharist? If so, year? (approximate) Please enter valid data.

Child 4: Confirmation? If so, year? (approximate) Please enter valid data.

Child 4: Are there special circumstances or needs which you would like us to be aware of?