Saint George Parish Registration InstagramThis field is for validation purposes and should be left unchanged.General InformationToday's Date:* MM slash DD slash YYYY Have you been a member of a parish previously?* Yes No If yes, where?Family InformationFamily Last Name:*How would you like your mail to be addressed?* Mr. & Mrs. Mr. Mrs. Ms. Miss Other (please specify) Date of marriage, if applicable: MM slash DD slash YYYY Were you married by a Catholic Priest or Deacon? If so, where?Male Head of HouseholdMale Head of Household Name First Middle Last Male Date of Birth MM slash DD slash YYYY Male Cell PhoneMale Email Enter Email Confirm Email Please include the email that you would like Saint George to use for sending notifications and information to your family.Males ReligionSacraments Male Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? If you have not received these sacraments, may we contact you? Yes No Female Head of HouseholdFemale Head of Household Name First Middle Last Maiden Name (if applicable)Female Date of Birth MM slash DD slash YYYY Female Cell PhoneFemale Email Enter Email Confirm Email Please include the email that you would like Saint George to use for sending notifications and information to your family.Females ReligionSacraments Female Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? If you have not received these sacraments, may we contact you? Yes No Contact InformationHome 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 Primary Home Phone*Minor Children in HouseholdDo you have children living in your household?* Yes No Please list all minor children in your household below, along with their date of birth.*Please include first, middle, and last name for all children listed.Sacraments Child #1 Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? Sacraments Child #2 Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? Sacraments Child #3 Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? Sacraments Child #4 Has Received?Baptism?First Reconciliaton?First Holy Communion?Confirmation? Would you like to receive weekly church contribution envelopes?* Yes No Would you like to receive information about Automatic Offertory Withdrawal?* Yes No Untitled
