INFANT OF PRAGUE CATHOLIC CHURCH NEW PARISHIONER ONLINE REGISTRATION FORM

MARRIED

HUSBAND FIRST NAME:               DATE OF BIRTH:  

SACRAMENTS RECEIVED :   BAPTISM           FIRST COMMUNION      CONFIRMATION

OCCUPATION:

WIFE – FIRST NAME:                       DATE OF BIRTH:  

SACRAMENTS  RECEIVED:   BAPTISM           FIRST COMMUNION      CONFIRMATION

OCCUPATION:

  FULL MAILING ADDRESS:

 CITY:   STATE:    ZIP:

PHYSICAL ADDRESS (IF DIFFERENT FROM ABOVE:

 CITY:   STATE:    ZIP:

PHONE NUMBER: (HOME)       (CELL)

E-MAIL:

MARRIAGE:   MARRIED IN CATHOLIC CHURCH        MARRIED OUTSIDE THE CATHOLIC CHURCH

DO YOU WISH TO RECEIVE THE CHURCH OFFERING ENVELOPES?  YES       NO

SINGLE
LAST NAME:    FIRST NAME:  
DATE OF BIRTH:  

SACRAMENTS RECEIVED :   BAPTISM           FIRST COMMUNION      CONFIRMATION

OCCUPATION:

  FULL MAILING ADDRESS:

 CITY:   STATE:    ZIP:

PHYSICAL ADDRESS (IF DIFFERENT FROM ABOVE:

 CITY:   STATE:    ZIP:

PHONE NUMBER: (HOME)       (CELL)

E-MAIL:

MARITAL STATUS:  SINGLE     DIVORCED    DIVORCED WITH ANNULMENT     WIDOW/WIDOWER

DO YOU WISH TO RECEIVE THE CHURCH OFFERING ENVELOPES?  YES       NO

PART 2 – FAMILY INFORMATION

IF LAST NAME IS DIFFERENT FROM YOURS PLEASE INDICATE LAST NAME

 

CHILDREN'S NAMES:   BIRTHDATE:    SACRAMENTS RECEIVED:
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
BAPTISM     1ST COMMUNION   CONFIRMATION
CHILDREN OVER THE AGE OF 18 SHOULD BE REGISTERED INDIVIDUALLY AS AN ADULT

IF AGE, ILLNESS OR OTHER FAMILY CIRCUMSTANCES WOULD PROHIBIT YOUR PARTICIPATION WOULD YOU PLEASE INDICATE SO: 

 IS ANY MEMBER OF YOUR FAMILY HOMEBOUND?

 FOR THOSE WHO ARE HOMEBOUND, WOULD YOU LIKE TO HAVE COMMUNION BROUGHT TO THEM IN THE HOME? 

PLEASE CONTACT ME WITH MORE INFORMATION ON THE FOLLOWING:

KNIGHTS OF COLUMBUS     CATHOLIC DAUGHTERS OF AMERICA   SENIOR YOUTH GROUP          
MARRIAGE ENCOUNTER  50+ CLUB RESPECT LIFE MINISTRY
CHOIR  FOLK GROUP  

  I/WE ARE INTERESTED IN SERVING IN THE FOLLOWING MINISTRIES.  (PLEASE GIVE US THE NAME OF THE PERSON INTERESTED IN SERVING):  

LECTOR COMMENTATOR
ALTAR SERVERS (BOYS & GIRLS )   EUCHARISTIC MINISTERS
HOSPITALITY MINISTERS (USHERS) SOUP KITCHEN 
PARISH COUNCIL FINANCE COUNCIL
SCHOOL VOLUNTEER FAITH FORMATION/RELIGIOUS EDUCATION
THRIFT SHOP NEW PARISHIONER WELCOME COMMITTEE
R.C.I.A. TEAM/R.C.I.A. SPONSOR