Parish Membership Registration

Thanks for taking a moment to register your household's information with our parish's office. Please fill out the form as completely as possible and then click submit.

Our Parish Prayer
Dear Heavenly Father, we come to You for the good of our parish. Make us work in a spirit of trust, love and understanding so that we may experience an abundance of light, compassion and peace. Keep our eyes ever fixed upon You, O Lord. Enable us to do your will in our lives, no matter the difficulty it may entail. Protect Sacred Heart from any attempt to diminish your loving action among us. Send us your Holy Spirit and renew our parish with a vivid sense of your presence, in the name of your Son Jesus Christ. Amen.

Date

Family Name

Title

First Name*

Last Name*

Home Address

Street 1*

Street 2

City*

State*

Zip*

Phone

Required* --

Cell Phone

Email Address

Additional E-mail Address for other family members

Head of Family

Title

First Name*

Last Name*

Head of Family Date of Birth

Sacraments Received Head of Family

	Baptism
	First Communion
	Confirmation

Name of Spouse

First Name

Last Name

Spouse Date of Birth

Sacraments Received Spouse

	Baptism
	First Communion
	Confirmation

Marital Status

Marriage Date

First and Last Names of Child(ren) in Household

First and Last Name(s) of Other Adult(s) in Household

What language, other than English, is spoken at home?

Last Parish Attended:

Parish Name, City, State

Is this information:
Required*

	Brand New Information?
	An Update to a Current Household Listing?