Parish Registration Parish Registration Become a member of Sacred Heart of Jesus Parish! Just fill out the form below! Today's Date MM slash DD slash YYYY Name* First Middle Last If registering your whole family, please begin with either the mother's or father's name here. If only one spouse is Catholic, please begin with the Catholic spouse.PhoneEmail Sex*MaleFemaleMarital Status*MarriedSingleDivorcedSeperatedWidowSingle ParentIf married, what was date of marriage? MM slash DD slash YYYY If married, was marriage in the Catholic Church?YesNoOccupation Name of High School and College Last grade or degree earnedDid not finish high schoolGEDHigh School GraduateAssociates DegreeBachelors DegreeMasters DegreeDoctorateDate of Birth MM slash DD slash YYYY Please check the Sacraments you have received:* Baptism Communion Confirmation If baptized, name, town and state of Church where you were baptized Spouse InformationName of Spouse First Middle Last Spouse's PhoneSpouse's Email Religion of Spouse* Spouse's Occupation Name Spouse's of High School and College Last grade or degree spouse earnedDid not finish high schoolGEDHigh School GraduateAssociates DegreeBachelors DegreeMasters DegreeDoctorateSpouse's Date of Birth MM slash DD slash YYYY Please check the Sacraments spouse has received:* Baptism Communion Confirmation If Spouse is baptized, name, town and state of Church of baptism: Household Information:Wife's Maiden Name Address* Street Address City State / Province / Region ZIP / Postal Code Number of Children at Home* Mass AttendanceEverydayEvery Sunday and Holy Day of ObligationAt least once a monthLess than once a monthName, town and state of last parish where you were a member? Children's Information:Children 18 year of age or older should register separately, regardless of whether they are living at home.First Child:First Child's Name First Middle Last First Child's Date of Birth MM slash DD slash YYYY Sex of first childMaleFemaleName of First Child's school Grade of First Child Please check the Sacraments the First Child has received:* Baptism Reconciliation Communion Confirmation If baptized, name, town and state of church where First Child was baptized: 2nd Child2nd Child's Name First Middle Last 2nd Child's Date of Birth MM slash DD slash YYYY Sex of 2nd childMaleFemaleName of 2nd Child's school Grade of 2nd Child Please check the Sacraments the 2nd Child has received:* Baptism Reconciliation Communion Confirmation If baptized, name, town and state of church where 2nd Child was baptized: 3rd Child3rd Child's Name First Middle Last 3rd Child's Date of Birth MM slash DD slash YYYY Sex of 3rd childMaleFemaleName of 3rd Child's school Grade of 3rd Child Please check the Sacraments the 3rd Child has received:* Baptism Reconciliation Communion Confirmation If baptized, name, town and state of church where 3rd Child was baptized: 4th Child4th Child's Name First Middle Last 4th Child's Date of Birth MM slash DD slash YYYY Sex of 4th childMaleFemaleName of 4th Child's school Grade of 4th Child Please check the Sacraments the 4th Child has received:* Baptism Reconciliation Communion Confirmation If baptized, name, town and state of church where 4th Child was baptized: 5th Child5th Child's Name First Middle Last 5th Child's Date of Birth MM slash DD slash YYYY Sex of 5th childMaleFemaleName of 5th Child's school Grade of 5th Child Please check the Sacraments the 5th Child has received:* Baptism Reconciliation Communion Confirmation If baptized, name, town and state of church where 5th Child was baptized: Ministries and Talents:Please list any ministry experience or talents any member of the household would like to share with the parish:Want to get involved?Questions???Are there any questions the pastor or staff can help you with?