New Parishioner Registration Form GENERAL INFORMATIONPlease fill out the New Parishioner Registration form below. If you need to make updates to your registration, please contact the parish office. FAMILY NAME* Prefix* Mr. & Mrs. Mr. Mrs. Ms. Dr. Family/Parishioner Status*SingleMarriedDivorcedWidowedSeparatedDivorced, in a non marital relationshipIn a non marital relationshipMarriage AnnulledStreet Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Main Contact Number*Email* Enter Email Confirm Email Head of Household InformationHead of Household INFORMATION* PrefixDr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Gender* Male Female Date of Birth* Month Day Year Cell Phone Number*Email Religion* Catholic Other Specify Occupation* Location Sacramental Information for Head of HouseholdBaptism:* Yes No Date of Baptism:* Church/Location* Penance (Fist Reconciliation)* Yes No Year:* Church/Location* First Communion* Yes No Year:* Church/Location* Confirmation* Yes No Year:* Church/Location* Marriage InformationMarriage Status*Married by PriestMarried Civilly Only (Out of the Church)Marriage Valid By Church LawMarriage Date* Month Day Year Church/Location* Original Marriage Date* MM slash DD slash YYYY Date Marriage was Validated in the Catholic Church* MM slash DD slash YYYY Status of Previous Marriage (if any) Married out of the Church Married by Priest Annulled Marriage Spouse InformationName (Spouse)* First Middle Last Suffix Gender (Spouse)* Male Female Date of Birth (Spouse)* Month Day Year Cell (Spouse)*Religion (Spouse)* Catholic Not yet Baptized, interested in becoming Catholic Other Specify Occupation (Spouse)* Location Sacramental Information for SpouseBaptism:* Yes No Approximate Date of Baptism:* Church/Location* Penance (Fist Confession):* Yes No Approximate Date of Year: Church/Location First Communion:* Yes No Approximate Year of First Communion: Church/Location Confirmation:* Yes No Approximate Year of Confirmation: Church/Location Significant Other- InformationName of Significant Other* First Middle Last Suffix Gender* Male Female Date of Birth* MM slash DD slash YYYY Religion-* Catholic Not yet Baptized, interested in becoming Catholic Other Specify Cell Phone*Email Occupation* Location Sacramental Information for Significant OtherBaptism-* Yes No Approximate Date of Baptism: MM slash DD slash YYYY Church/Location: First Confession/Penance-* Yes No Approximate Year of First ConfessionChurch/Location: First Communion-* Yes No Approximate Year of First CommunionChurch/Location: Confirmation-* Yes No Approximate Year of First CommunionChurch/Location: Children InformationDo you have children?* Yes No Other individuals are part of my family Number of ChildrenNumber additional individuals that live in your householdFirst Child- Information1- Full Name of Child* First Middle Last Suffix 1- Gender* Male Female 1- Date of Birth Month Day Year 1- Student:* Yes No 1- Grade Level:* 1- Location:* 1- Religion* Catholic Not Baptized Yet Other 1- Specify 1- Baptism:* Yes No 1- Date of Baptism* Month Day Year 1- Church/Location:* 1- First Confession/Penance:* Yes No 1- Approximate Penance Date:* Month Day Year 1- Church/Location:* 1- First Communion:* Yes No 1- Approximate Communion Date* Month Day Year 1- Church/Location:* 1- Confirmation:* Yes No 1- Approximate Confirmation Date:* Month Day Year 1- Church/Location:* Second Child- Information2- Full Name of Child* First Middle Last Suffix 2- Gender* Male Female 2- Date of Birth* Month Day Year 2- Student:* Yes No 2- Grade Level:* 2- Location:* 2- Religion* Catholic Not Baptized Yet Other 2- Specify Sacramental Information for Second Child2- Baptism* Yes No 2-Date of Baptism* Month Day Year 2- Church/Location:* 2- First Confession/Penance:* Yes No 2- Approximate Penance Date:* Month Day Year 2- Church/Location:* 2- First Communion:* Yes No 2- Approximate Communion Date* Month Day Year 2- Church/Location:* 2- Confirmation:* Yes No 2- Approximate Confirmation Date Month Day Year 2- Church/Location:* Third Child- Information3- Full Name of Child* First Middle Last Suffix 3- Gender* Male Female 3- Date of Birth* Month Day Year 3- Student:* Yes No 3- Grade Level:* 3- Location:* 3- Religion* Catholic Not Baptized Yet Other 3- Specify Sacramental Information for Third Child3- Baptism* Yes No 3- Date of Baptism* Month Day Year 3- Church/Location:* 3- First Confession/Penance:* Yes No 3- Approximate Penance Date:* Month Day Year 3- Church/Location:* 3- First Communion:* Yes No 3- Approximate Communion Date:* Month Day Year 3- Church/Location:* 3- Confirmation:* Yes No 3- Confirmation Date:* Month Day Year 3- Church/Location:* Fourth Child- Information4- Full Name of Child* First Middle Last Suffix 4- Gender* Male Female 4- Date of Birth* Month Day Year 4- Student:* Yes No 4- Grade Level:* 4- Location:* 4- Religion* Catholic Not Baptized Yet Other 4- Specify Sacramental Information for Fourth Child4- Baptized* Yes No 4- Date of Baptism* Month Day Year 4- Church/Location:* 4- First Confession /Penance* Yes No 4- Approximate Date:* Month Day Year 4- Church/Location:* 4- First Communion* Yes No 4- Approximate Communion Date:* Month Day Year 4- Church/Location:* 4- Confirmation:* Yes No 4- Approximate Confirmation Date:* Month Day Year 4-Church/Location:* Fifth Child- Information5- Full Name of Child* First Middle Last Suffix 5- Gender* Male Female 5- Date of Birth* Month Day Year 5- Student:* Yes No 5- Grade Level:* 5-Location:* 5- Religion* Catholic Not Baptized Yet Other 5- Specify Sacramental Information for Fifth Child5- Baptism* Yes No 5- Date of Baptism* Month Day Year 5- Church/Location:* 5- First Confession/Penance:* Yes No 5- Approximate Penance Date:* Month Day Year 5- Church/Location:* 5- First Communion:* Yes No 5- Approximate Communion Date:* Month Day Year 5- Church/Location:* 5- Confirmation:* Yes No 5- Approximate Confirmation Date:* Month Day Year 5- Church/Location:* We want to get to know you, share a picture of your family with us!Accepted file types: jpg, jpeg, png, gif.You're almost done!We have many ministries , activities, and organizations at Saint Paul that you may be interested in. Please indicate the ministries you would like to receive information. Ministries & Groups at Saint PaulAdult Education /Faith FormationAdult Scripture StudyAltar ServersApostolic and HungerBirthright of ValpoBook DiscussionClothing CenterCursillos in ChristianityEDGE- Youth MinistryEnvironment and ArtESL (ingles como segundo lenguage)Estudio Biblico en Español (Spanish Bible Study)Eucharistic Adoration/Intercessory PrayerEucharistic MinistersEvangelization TeamFaith Sharing GroupFamily & Marriage EnrichmentFamily Rosary and SpiritualFood Pantry MinistryFriday Morning Scripture SharingFuneral LunchesGarden ClubGreeting TeamHelping HandsHispanic MinistryHombres en la Fe (Men in Faith)Hospital Eucharistic MinistersKnights of ColumbusLectorsLIFE TEENLife Teen Music MinistryLiturgical MinistersMarjorie Clifford Senior CircleMarriage Preparation TeamMary's Rosary MakersMatrimonios en la Fe (Matrimonies in Faith)Ministry of ConsolationMujeres en la Fe (Women in Faith)Music MinistryNursing Home MinistryReligious Education ProgramReading DiscussionRegistration MinistryReligious Education ProgramRespect LifeRetreats GroupRite of Christian Initiation for Adults (RICA)Rosary DevotionSenior GroupSpiritual DirectionSt. Agnes Adult Day Service CenterSt. Paul Catholic SchoolSt. Paul Nursing and Health MinistrySt. Vincent DePaul SocietyStewardship CommitteeThat Man is You! (TMIY)UshersVocations Committee MinistryWELCOME MenWELCOME WomenWelcoming Committee MinistryWomen of GraceYoung AdultsQuestions or Comments:
