New Parishioner Registration
This form is used with permission of Rev. Mr. Ralph Bachner and our friends at St. Kilian Parish, Mars, Pennsylvania

Why register? Registration gives us a more accurate view of who is in the parish. It enables better communication, since we send several mailings and newsletters throughout the year.

Please provide the following confidential information. If you would prefer a paper registration form, please contact the parish office.

Be sure to fill in 1) the Address of Household information and 2) information for EACH individual member in the household, including any individual listed in the Address of Household section.

Tab through the form, when information is completed, press ENTER or click on the Submit Button. Complete information for all members of household. Children 21 and over, and other adult residents in the same household should register separately.

Address of Household

Household Mailing Title:  

Title: First: MI: Last:
Address:  

Street: Apt:
City:  
State:  
Zip Code:  
 +4
Home Phone Number:
Area Code: Number: Check if unlisted
email:
Envelopes:
Check here if you wish to receive and will use offertory envelopes

Family Member One
(This is information for the Head of Household AS AN INDIVIDUAL.
please fill the following information, even if you provided some of the information above)

Name  

Title: First: MI: Last:
Gender  
   
Date of Birth  
   
Marital Status  
   
Relationship (i.e. head of household, son,
daughter, etc)
   
Religion (if not Catholic)  
   
Education   
   
Email Address  
   

   Marital Information, if applicable:

Date of Marriage  
Place of Marriage (Church, City and State)  
Check, if Catholic Marriage  
Maiden Name, if applicable  

  Indicate Catholic sacraments received:

Baptism  
If non-Catholic Baptism,
please enter faith of Baptism  
First Communion 
    
Confirmation  

Additional Comments

If no additional family members, please submit form. Otherwise enter information for additional family members below.

Family Member Two
(such as Spouse, etc.)

Name  

Title: First: MI: Last:
Gender  
   
Date of Birth  
   
Marital Status  
   
Relationship (i.e. head of household, son,
daughter, etc)
   
Religion (if not Catholic)  
   
Education   
   
Email Address  
   

   Marital Information, if applicable:

Date of Marriage  
Place of Marriage (Church, City and State)  
Check, if Catholic Marriage  
Maiden Name, if applicable  

  Indicate Catholic sacraments received:

Baptism  
If non-Catholic Baptism,
please enter faith of Baptism  
First Communion 
    
Confirmation  

Additional Comments

If no additional family members, please submit form. Otherwise enter information for additional family members below.
 

Family Member Three

Name  

Title: First: MI: Last:
Gender  
   
Date of Birth  
   
Marital Status  
   
Relationship (i.e. head of household, son,
daughter, etc)
   
Religion (if not Catholic)  
   
Education   
   
Email Address  
   

   Marital Information, if applicable:

Date of Marriage  
Place of Marriage (Church, City and State)  
Check, if Catholic Marriage  
Maiden Name, if applicable  

  Indicate Catholic sacraments received:

Baptism  
If non-Catholic Baptism,
please enter faith of Baptism  
First Communion 
    
Confirmation  

Additional Comments

If no additional family members, please submit form. Otherwise enter information for additional family members below.

Family Member Four

Name  

Title: First: MI: Last:
Gender  
   
Date of Birth  
   
Marital Status  
   
Relationship (i.e. head of household, son,
daughter, etc)
   
Religion (if not Catholic)  
   
Education   
   
Email Address  
   

   Marital Information, if applicable:

Date of Marriage  
Place of Marriage (Church, City and State)  
Check, if Catholic Marriage  
Maiden Name, if applicable  

  Indicate Catholic sacraments received:

Baptism  
If non-Catholic Baptism,
please enter faith of Baptism  
First Communion 
    
Confirmation  

Additional Comments

If no additional family members, please submit form. Otherwise enter information for additional family members below.

Family Member Five

Name  

Title: First: MI: Last:
Gender  
   
Date of Birth  
   
Marital Status  
   
Relationship (i.e. head of household, son,
daughter, etc)
   
Religion (if not Catholic)  
   
Education   
   
Email Address  
   

   Marital Information, if applicable:

Date of Marriage  
Place of Marriage (Church, City and State)  
Check, if Catholic Marriage  
Maiden Name, if applicable  

  Indicate Catholic sacraments received:

Baptism  
If non-Catholic Baptism,
please enter faith of Baptism  
First Communion 
    
Confirmation  

Additional Comments

Please submit form. If more members in household, please submit a second form.